Mitral Valve Repair: Rheumatic
INTRODUCTION Print Section Listen After recovery from an initial episode of rheumatic fever, approximately 60 to 65% of patients will develop heart valve disease (rheumatic heart disease, RHD) and possibly…
Surgery for Functional Mitral Regurgitation
INTRODUCTION Print Section Listen Functional mitral regurgitation (FMR) is a complication of ischemic or dilated cardiomyopathy, occurring secondary to left ventricular (LV) geometrical distortion from tenting, inferobasilar migration, apical displacement,…
Computed Tomography of the Adult Cardiac Surgery Patient: Principles and Applications
INTRODUCTION Print Section Listen Advances in computed tomography (CT) technology have revolutionized the diagnosis of cardiovascular disease. CT has dramatically reduced, and for some clinical scenarios eliminated, the need for…
Pathophysiology of Aortic Valve Disease
INTRODUCTION Print Section Listen The aortic valve (AV) is a semilunar valve positioned at the end of the left ventricular outflow tract (LVOT) between the left ventricle and aorta. Proper…
Surgical Treatment of Aortic Valve Endocarditis
INTRODUCTION Print Section Listen The most common heart valve affected by infective endocarditis (IE) is the aortic valve. Fortunately, significant progress has been made in our understanding and management of…
Percutaneous Treatment of Aortic Valve Disease
INTRODUCTION Print Section Listen The history of percutaneous treatment of aortic valve disease began with the work of Danish researcher, H.R. Andersen, who in the late 1980s experimented in an…
Coronary Artery Reoperations
INTRODUCTION Print Section Listen Coronary artery reoperations are more complicated than primary operations. Patients undergoing reoperations have distinct, more dangerous pathologies; reoperations are technically more difficult to perform; and the…
Myocardial Revascularization Without Cardiopulmonary Bypass
INTRODUCTION Print Section Listen Despite the increased prevalence of percutaneous coronary intervention (PCI) to treat coronary disease, coronary artery bypass graft (CABG) will continue to have a major role, particularly…
Myocardial Revascularization with Percutaneous Devices
INTRODUCTION Print Section Listen At its height, the success of surgical coronary revascularization spurred improvement in catheter-based technology—first for imaging quality, and later for attempted therapy. In 1974, Andreas Gruentzig…
Myocardial Revascularization with Cardiopulmonary Bypass
INTRODUCTION Print Section Listen Coronary artery disease (CAD) remains the single largest killer of Americans, accounting for almost half a million deaths per year. It imposes a particular burden on…
