INTRODUCTION Mitral valve repair is the treatment of choice to correct mitral insufficiency, although the literature related to mitral valve annulus behavior after mitral repair without use of prosthetic rings is scarce. OBJECTIVE To analyze mitral annulus morphology and function using real time tridimensional echocardiography in individuals submitted to mitral valve repair with Double Teflon...

Objective: Mitral valve repair in rheumatic patients is still a challenge. The aim of this study is to assess the results of mitral valve repair in rheumatic patients with rheumatic mitral insufficiency. Methods: 330 patients with rheumatic mitral insufficiency who had undergone mitral valve repair in the Heart Institute HC-FMUSP were assessed retrospectively, between 1985 and 2005. The mean ag...

In a patient with endocarditis and significant aortic insufficiency, two-dimensional echocardiography revealed an abnormal mitral valve configuration with division of the valve into two separate orifices. At autopsy, a double orifice mitral valve with two sets of valve leaflets was observed. Appreciation of this echocardiographic abnormality is important because double orifice mitral valve is a...

OBJECTIVE To describe the experience with the technique of posterior leaflet extension in children suffering of rheumatic mitral regurgitation. METHODS Between April 2002, and October 2007, 30 children, mean age 11.3 years, underwent correction of mitral insufficiency with the technique of posterior leaflet extension with a pericardial patch. Eight also received a Carpentier ring. Six childre...

Supplementary material (Videos 1 and 2) is available at EJCTS online. Video 1: Transoesophageal echocardiography showing a blockade of one of the leaflets of the mitral valve prosthesis due to a giant pannus formation with a resulting stenosis and insufficiency. Video 2: Fluoroscopy of aortic valve (top) and mitral valve (bottom) prostheses. There is an almost normal motion amplitude of one lea...

results of the 41 patients with dcm, echocardiography examination revealed 11 patients (27%) without mitral regurgitation and 12 (29%) with mild, 11 (27%) with moderate, and seven (17%) with severe mitral regurgitation. all of the morphological and functional parameters of left ventricle, atrium and mitral valve in dcm patients were greater than those in healthy subjects (all p < 0.05), except ...

THE experimental production of sudden, severe aortic insufficiency causes left ven-tricular diastolic pressure to become markedly elevated so that it exceeds left atrial pressure and results in diastolic closure of the mitral valve.' Ten cases of severe aortic insuffi-ciency have been reported in which left ven-tricular pressure exceeded left atrial pressure during diastole, causing premature m...

The anterior leaflet of the mitral valve is partly continuous through a fibrous membrane with the aortic valve. Lying immediately subjacent to the aortic valve, the mitral valve and its chordae may become secondarily infected in instances of primary aortic valvular bacterial endocarditis. Destructive changes of the anterior mitral leaflet or mitral chordae may lead to mitral insufficiency. The ...

We present the case of a 72-year-old woman diagnosed with rheumatic fever at the age of 6. In 1972, she was diagnosed with mitral valve insufficiency and mitral valve stenosis, then in 1974, a decision was made to perform mitral valve replacement surgery with a 32-mm Braunwald-Cutter ball cage prosthesis. An echocardiogram performed in 2014 revealed normal biventricular systolic function, mecha...