The Role of the “Edge-to-Edge” in Mitral Valve Repair
Fig. 13.1 Preoperative echocardiographic measurement of the coaptation depth and tenting area of the mitral valve in a patient with functional MR From a technical point of view, an IABP…
Chordal Cutting: State of the Art
Fig. 12.1 Mechanism of Ischemic MR. Imbalance between increased tethering forces (annular dilatation, LV dilatation, papillary muscles displacement, LV sphericity) and decrease of closing forces (LV dysfunction) resulting into reducing…
Anatomical Changes Associated with Secondary Mitral Regurgitation: Difference Between Ischemic and Idiopathic Cardiomyopathy
Fig. 2.1 3D mitral valve apparatus reconstruction in SMR using Q-Laboratory MVQ Software (Version 6.0, Philips Medical Systems) (From the collection of 3D echocardiographic reproductions of Fattouch K, Castrovinci S,…
Mitral Prosthesis Insertion for Functional Mitral Regurgitation: Indications and Results
(n) 3 years 4 years 5 years 10 years Lamas et al. [3] MR− (586) 87 % CV surv MR+ (141) 66 % p .0022 Grigioni et al. [4]…
Timing and Patient’s Selection for Surgical Repair of Secondary Mitral Valve Regurgitation
Fig. 7.1 Indications for intervention in secondary MR regurgitation. (a) Reparability of the MV and exercise-induced dyspnea with a significant increase in MR severity and pulmonary hypertension during exercise echocardiography…
Predictors of Recurrent Chronic Ischemic Mitral Regurgitation After Mitral Valve Repair Surgery
Echocardiographic variables Authors/Ref Tenting area Lesniak-Sobelga et al. [11], Kongsaerepong et al. [12] Coaptation depth/height Gelsomino et al. [37], Calafiore et al. [13, 14], Ciarka et al. [8] Posterior angle…
Dynamic Stress Evaluation of Secondary Mitral Regurgitation
Fig. 6.1 Patient with dilated cardiomiopathy of non ischemic origin, severe left ventricular (LV) dilatation and systolic dysfunction (Panel a) and mild secondary mitral regurgitation (MR) at rest (Panel c,…
Papillary Muscle Relocation
© Springer-Verlag London 2015Khalil Fattouch, Patrizio Lancellotti and Gianni D. Angelini (eds.)Secondary Mitral Valve Regurgitation10.1007/978-1-4471-6488-3_11 11. Papillary Muscle Relocation Cynthia E. Wagner1 and Irving L. Kron1 (1) Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA …
Prosthetic Ring Choice in Secondary Mitral Regurgitation
© Springer-Verlag London 2015Khalil Fattouch, Patrizio Lancellotti and Gianni D. Angelini (eds.)Secondary Mitral Valve Regurgitation10.1007/978-1-4471-6488-3_10 10. Prosthetic Ring Choice in Secondary Mitral Regurgitation Amit Arora1 and Anelechi C. Anyanwu1 (1) Department of Cardiothoracic Surgery, Mount Sinai Medical Center, 1190…
Perioperative Anesthesia Management in Secondary Mitral Regurgitation and Heart Failure
Causes Notes A. General Perioperative myocardial injury Global WMA Ischemia-reperfusion injury Inadequate myocardial protection Adverse effects of CPB B. Case specific Ischemia/infarction Regional WMA, ECG changes, graft flow Vessel spasm…
