The role of intraoperative transesophageal echocardiography (TEE) has increased tremendously since its first use in 1979. Today intraoperative TEE is a class I indication for surgical mitral valve reconstruction for evaluation of mitral valve pathology, graduation of mitral regurgitation and detection of potential risk factors as well as post-repair assessment. Real-time three-dimensional TEE o...

OBJECTIVE To assess the results of mitral valve repair in a series with a low frequency of repair despite a policy to conserve the valve whenever possible. DESIGN Retrospective review of case notes with clinical and echocardiographic examination of survivors. SETTING Cardiac surgery unit in a university teaching hospital. PATIENTS 62 consecutive patients undergoing mitral valve repair by ...

BACKGROUND Ischemic mitral regurgitation (IMR) is associated with diminished survival prospects. Ringless edge-to-edge mitral valve repair is usually performed in association with coronary artery bypass grafting (CABG). In this report, we present our early results for ringless edge-to-edge repair and concomitant CABG. METHODS Between January 2011 and June 2012, 17 patients underwent ringless ...

Although infective endocarditis is primarily treated conservatively with antimicrobial therapy, early surgical intervention is often mandatory when various complications arise. These include intractable heart failure, persistent uncontrollable infection, large mobile vegetations, peripheral embolism and prosthetic valve endocarditis. Optimal timing of surgical intervention in patients with infe...

background: about half of all patients who undergo mitral valve surgery suffer from atrial fibrillation (af). cox described the surgical cut-and-sew maze procedure, which is an effective surgical method but has some complications. this study was designed to evaluate the efficacy of a substitution method of radiofrequency ablation (rfa) for patients undergoing mitral valve surgery with af. metho...

et al. Very long-term results (more than 20 years) of valve repair with Carpentier’s techniques in nonrheumatic mitral valve insufficiency. Circulation 2001;104(Suppl I):I-8–I-11. [4] Casselman F, Van Slyke S, Wellens F, De Geest R, Degriek I, Van Praet F et al. Mitral valve surgery can now routinely be performed endoscopically. Circulation 2003;108(Suppl II):II-48–II-54. [5] De Bonis M, Loruss...

INTRODUCTION AND AIMS The long-term results after surgical repair of rheumatic mitral valve remain controversial in literature. Our aim was to determine the predictive factors which impact the long-term results after isolated rheumatic mitral valve repair and to evaluate the effect of those factors on reoperation and late mortality. METHODS One hundred and four patients with rheumatic valve d...

Mitral valve repair is the established and preferred surgical treatment of myxomatous mitral valve disease. Numerous reports have shown the superiority of repair versus replacement in terms of operative mortality, thromboembolism, and longterm survival.l.2 Repair places greater demands on the surgeon, who is no longer satisfied with the standard preoperative data but requires precise anatomic d...

Background Mitral valve repair (MVR) shows clinical and economic superiority over mitral valve replacement in patients with dystrophic and rheumatic regurgitation, but outcomes are less certain in chronic ischemic mitral regurgitation (IMR). We hypothesize that MVR may have adverse effects on LV hemodynamics resulting from suboptimal annuloplasty geometry and post-repair mitral valve stenosis w...

BACKGROUND Because of demographic changes, a growing number of elderly patients present with mitral valve (MV) disease. Although mitral valve repair (MV-repair) is the "gold standard" treatment for MV disease, in elderly patients, there is controversy about whether MV-repair is superior to mitral valve replacement. We reviewed results after MV surgery in elderly patients treated over the past 2...