mitral valve replacement (mvr) is usually performed in two methods of running and interrupted suturing. in running method, the suturing of the valve is usually with some traction on the annulus and also there is a risk of aortic valve injury. this study was conducted to evaluate a new technique for suturing to avoid these complications and decrease the time of cardiac arrest. one hundred and se...

BACKGROUND Simultaneous transapical implantation of transcatheter heart valves in the native mitral and aortic position may be considered as an alternative to surgical valve replacement in high-risk patients presenting with combined valve disease. CASE PRESENTATION A 59-year-old female with severe aortic stenosis, severe mitral stenosis with mild mitral insufficiency, persistent atrial fibril...

SUCCESS in the surgical treatment of stenotic valvular disease of the heart has emphasized the urgency for the development of equally satisfactory methods for the correction of valvular insufficiencies. This need applies particularly to the mitral valve. Although mitral stenosis is quite common, it is relatively less so in the "pure" state. Bland stated that of 730 cases of rheumatic heart dise...

insufficiency aims at relief of symptoms, minimisation of complications and improvement of survival. The development of prosthetic mitral rings and the establishment of reconstruction methods have led to wide application of these techniques. The ideal prosthetic valve has not yet been invented: late complications of both prosthetic mechanical valves (bleeding, thromboembolic events) and tissue ...

SUMMARY The Lillehei-Kaster (L-K) valve is a tilting disc prosthesis currently in use for heart valve replacement. We report data from phonocardiography (PHONO) and echocardiography (ECHO) in 20 patients with a normally functioning mitral valve prosthesis (MVP). The MVP is well recorded by ECHO, resembling a mitral stenosis pattern with a disc excursion of 7 to 12 mm and a mean opening and clos...

BACKGROUND Mitral valve repair is considered the gold standard in surgery of degenerative mitral valve insufficiency (MVI), but the long-term results (>20 years) are unknown. METHODS AND RESULTS We reviewed the first 162 consecutive patients who underwent mitral valve repair between 1970 and 1984 for MVI due to nonrheumatic disease. The cause of MVI was degenerative in 146 patients (90%) and ...

OBJECTIVES The bicuspid aortic valve (BAV) is associated with various cardiovascular malformations, most predominantly with dilatation of the aortic root and ascending aorta. After sporadic observations of various BAV-associated mitral valve pathologies, we sought to systematically examine the mitral valve morphology in patients with a BAV. METHODS Forty-four operated patients with a BAV (typ...