Background: Successful mitral valve repair and replacement are dependent upon a full understanding of normal and abnormal mitral valve anatomy and function. The functional components of the mitral valve include: the left atrial wall, the annulus, the leaflets, the chordae tendineae, the papillary muscles, segments of the left ventricular myocardium. Abnormal anatomy or function of any one of th...

Transcatheter aortic valve implantation and transcatheter mitral valve repair (MitraClip) procedures have been performed worldwide. In this paper, we review the use of two-dimensional and three-dimensional transesophageal echo for guiding transcatheter aortic valve replacement and mitral valve repair.

Minimally invasive mitral valve surgery (MIMVS) was introduced in the mid-1990s to refer to a variety of surgical techniques that avoid full sternotomy through smaller or alternative chest wall incisions, as an attempt to reduce complications, but at the same time preserve outcomes of the full sternotomy approach. In this review, different aspects of MIMVS are discussed in relation to its appro...

INTRODUCTION In this article we would like to make an institutional report and our early experience in video-assisted right minithoracotomy approach for mitral valve surgery. CASE REPORT Surgical technique include mitral valve repair or replacement through right lateral minithoracotomy, percutaneous cannulation for venous drainage and optional femoral or distal ascendant aortic cannulation fo...

BACKGROUND Extension of infection below the aortic valve is a serious complication, especially with mitral valve involvement. Mortality is substantial and reinfection can strongly influence outcome. PATIENTS Of 327 surgical patients with active infective aortic valve endocarditis admitted to the Deutsches Herzzentrum Berlin for surgical treatment between December 1996 and December 2003, 108 h...

BACKGROUND Re-do mitral valve procedures performed through median sternotomy carry substantial mortality and morbidity. To avoid complications of sternal re-entry and to provide adequate mitral valve exposure, antero-lateral thoracotomy has been suggested by some authors. METHODS From October 1997 to January 2007, 677 mitral valve operations have been performed in our centre using port-access...

Recognition of the significant advantages of minimizing surgical trauma has resulted in a substantial increase in the number of minimally invasive (MI) cardiac surgical procedures being performed. Synchronously, technological advances in optics, instrumentation and perfusion technology have facilitated routine totally endoscopic robotic cardiac surgery using the da Vinci((R)) telemanipulation s...

Mitral Valve; Balloon Dilatation / history. In 1982, Kanjii Inoue, a Japanese cardiac surgeon, developed the concept that a thickened and deteriorated mitral valve could be widened as a synthetic balloon. This concept was similar to the one used in the surgical closed mitral commissurotomy1. Subsequently, the double-balloon technique was introduced in Saudi Arabia as an alternative method to th...

The data by Drs Shingu and Matsui suggest the utility and need for procedures to address subvalvular tethering in patients with ischemic MR. Currently reported surgical procedures to address subvalvular tethering are conceptually reasonable and heterogenous. A tailored and heterogeneous approach based on preoperative 3dimensional evaluation of mitral valve geometry seems necessary to address pa...

fibrin glue is used for control of bleeding in various surgical procedures. in this work the ability of fibrin glue to seal punctures in the vascular system is demonstrated. blood samples were taken from rabbits, fibrinogen was separated and fibrin glue was eventually prepared. the rabbits were anesthetized and a midline incision was carried out. the heart and abdominal aorta were exposed. punc...