OBJECTIVES An increasing number of octogenarians are referred to undergo mitral valve surgery for degenerative disease, and percutaneous approaches are being increasingly used in this subgroup of patients. We sought to determine the survival and its predictors after Mitral Valve Surgery in Octogenarians (MiSO) in a multicenter UK study of high-volume specialized centers. METHODS Pooled data f...

Type 1 rupture of the left ventricle occurred during mitral valve repair. A repair operation, in which the posterior leaflet of the mitral valve was used as a buttress, was successful.

BACKGROUND The purpose of this study was to report our 19-year experience in redo surgery for failure of mitral valve repair (MVRep) in degenerative disease. METHODS From 1987 to 2006, 43 consecutive patients (32 males) underwent either redo MVRep (n = 21) or redo mitral valve replacement (n = 22) for failure of MVRep. Age ranged from 10 to 78 years (median, 59 years). Forty-one patients (95%...

Various surgical techniques have been described for the repair of mitral valve with or without using an annuloplasty ring depending upon the pathological changes. Isolated prolapse of the anterior mitral leaflet with severe mitral regurgitation is relatively uncommon compared to prolapse of the posterior mitral leaflet. The technique commonly used is edge-to-edge repair, Chordal transfer and sh...

Functional ischemic mitral regurgitation (MR) is now receiving increased attention as one of the last frontiers in mitral valve repair as well as a therapeutic opportunity in heart failure (1–5). Valve repair has proved more challenging for ischemic MR than for degenerative mitral valve prolapse, in which surgery is tailored to the detailed anatomy displayed by echocardiography and inspection. ...

PURPOSE OF REVIEW To highlight the relevance of preoperative differentiation of degenerative mitral valve disease based on etiology (predominantly Barlow's Disease or fibroelastic deficiency) and severity of lesions with an emphasis on how such differentiation by the cardiologist can result in increased rate of mitral valve repair. RECENT FINDINGS In the hands of reference mitral valve-repair...

M itral valve repair was first suggested in 1902 by Sir Thomas Brunton (1) as a surgical approach to patients with rheumatic mitral valve disease. However, it was not until after the introduction of the heart-lung machine in 1953 by Gibbons (2) that techniques for the repair of pure mitral valve regurgitation were first introduced by Lillehei et al. (3) in 1957. Because of the development of pr...

The aim of this study was to review the clinical and echocardiographic outcomes after mitral valve repair for mitral regurgitation due to degenerative disease of the mitral valve. A total of 649 consecutive patients who had isolated mitral valve repair were prospectively followed up for 6.8 +/- 3.1 years. The mean age was 58 +/- 11 years. The operative mortality rate was 0.6%; the late mortalit...

OBJECTIVES Mitral annular calcification is associated with significant morbidity and mortality at the time of mitral valve surgery. However, few data are available describing the impact of mitral annular calcification on early and late outcomes following mitral valve repair in the current era. METHODS Between 2001 and 2011, 625 patients were referred for mitral valve repair of severe mitral r...

We present new algorithms to compute patient specific strain maps for mitral valve leaflets, by tracking and modeling deformations of the mitral valve apparatus in 3D echocardiography. We can then quantify comparisons of mitral leaflets strain maps between normal patients and cases of mitral valve prolapse or regurgitation. For patients with mitral valve regurgitation, we compare mitral leaflet...