Mitral valve insufficiency is frequently the result of elongated or ruptured chordae tendineae. Several techniques have been described for its correction. However, when there is a severe elongation or rupture of the chordae, the most widely accepted treatment option has been valve replacement. The best long-term outcomes observed in conservative surgeries led us to choose this procedure rather ...

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

T HE INFREQUENT REPORTS of mitral insufficiency on a congenital basis rcflect the apparent rarity of this condition. Aneurysmal dilatation of the left atrium in a 5year-old girl with clinical findings suggesting mitral insufficiency has been described by Semans and Taussig in 1938.1 Postmortem examination of this patient revealed thickening of the mitral and tricuspid valves, saccular dilatatio...

Mitral insufficiency results from a failure of the valve leaflets to meet during ventricular systole. During exploratory surgery on patients afflicted with this disease, the observation was made by the authors and others1 that the regurgitant jet could be effectively controlled by the surgeon’s index finger with significant improvement in the action of the heart as long as the finger remained a...

   Introduction: Retinal vein occlusion  is a common vascular disorder disrupting vision. Two basic types of RVO are branch retinal vein occlusion and central retinal vein occlusion (CRVO).  Retinal vein occlusion is a multifactor process including systemic illness and local retinal factors.RVO may be associated with atherosclerotic risk factors. We analyzed the role of 2 dimensional transthor...

Two cases of mitral insufficiency are reported. In 1 case the lesion was produced by rupture of the chordae tendineae of the posterior leaflet of the mitral valve. In the other case it was produced by fibrous adhesion of the posterior leaflet of the mitral valve to the underlying left ventricular wall, which occurred during healing of subacute bacterial endocarditis. Changes occurred in the pul...

Severe aortic insufficiency may accelerate mitral valve closure. We noted this echocardiographic finding in several patients with the acute onset of severe aortic insufficiency. Accordingly, we examined our total echocardiographic series retrospectively for early closure of the mitral valve (ECMV) in the setting of aortic insufficiency and found it in 11 of 53 patients with confirmed aortic ins...

OBJECTIVE This study investigated the use of a new concept of mitral valve reconstruction using a novel device to stent the posterior mitral leaflet in combination with semicircular annuloplasty. Modern mitral valve repair is an accepted modality and a routine procedure for treatment of degenerative mitral valve insufficiency. One of the most common mechanisms of mitral valve insufficiency is l...

In recent years mitral valve repair has gained increasing acceptance as the preferred treatment for mitral insufficiency. Mitral valve repair has many advantages. The surgical risk is lower than prosthetic valve replacement. Improved preservation of left ventricular function due to maintenance of the papillary muscle - mitral annular continuity - has been demonstrated. Thromboembolism is rare a...

Results of two-dimensional echocardiographic examinations were compared with angiographic, hemodynamic and surgical results in 44 patients with bioprosthetic valves in mitral and aortic positions who were undergoing elective or urgent reinvestigation 24 to 87 months (mean 34) after implantation. In these patients, there were 18 homograft aortic valves in the aortic position, 9 stent-mounted hom...