The surgical strategy in infants with mitral valve stenosis or atresia without diminutive ascending aorta remains to be established, including the potential for biventricular repair as a definitive operation. Our surgical experience of six infants with mitral valve stenosis (4 patients) or atresia (2 patients) without diminutive ascending aorta was evaluated based on three important factors: le...

We report successful mitral valve repair in a patient with porcelain aorta, complicated by aortic regurgitation, severe cerebrovascular disease, and multiple cerebral infarctions. The patient was a 77-year-old male who had congestive heart failure as a result of severe mitral regurgitation. Mitral valve repair was performed without aortic cross-clamping, using moderate hypothermic cardiopulmona...

BACKGROUND The typical cardiac manifestations of Marfan syndrome are aortic regurgitation with progressive dilatation of the aortic root, which may cause dissection and rupture of the ascending aorta, mitral valve prolapse and mitral valve regurgitation. In this study, we aimed to show echocardiographic findings in 11 patients with Marfan syndrome. METHODS Diagnosis of Marfan syndrome was bas...

BaIlon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. Also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. Immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmHg, transmitral valve gradient was 1.8±2 mmHg, and mit...

Mitral valvuloplasty is efficient for repairing mitral valve disease with few complications. In some cases, obstruction of the left ventricular outflow tract may occur due to systolic anterior motion of the mitral valve. We report the case of a patient with this complication and a pressure gradient between the left ventricle and the aorta of 130 mm Hg after mitral valvuloplasty with implantatio...

Reconsideration of echocardiographic standards for mitral valve prolapse: lack of association between leaflet displacement isolated to the apical four chamber view and independent echo-cardiographic evidence of abnormality. The effects of mitral annuloplasty rings on mitral valve complex 3D geometry during acute left ven-tricular ischemia. A et al. Reoperation for failure of mitral valve repair...

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...

are presented. Several echocardiographic abnormalities were observed, namely (I) diastolic fluttering of the anterior mitral leaflet, (2) dilatation of the 'aortic' root, (3) four 'aortic' valve cusp echoes, (4) separation of the 'aortic' cusps during diastole, (5) dilatation of the right ventricle with paradoxical motion of the septum, (6) the anterior wall of the 'aorta' was anterior to the s...

CONGENITAL stenotic lesions of the mitral valve may be classified into various groups depending on the functional capacity of the left ventricle. In the extreme form, s8vere stenosis or atresia of the mitral valve is associated with hypoplasia of the left ventricle and aorta. Septal defects are usually present and these combinations are lethal in infaincy.i' 2 In the presence of a functioning l...