Mitral Valve Repair by H. Siniawski MD, PhD, M. Hübler MD, A. Amiri MD, C.A. Yankah

By H. Siniawski MD, PhD, M. Hübler MD, A. Amiri MD, C.A. Yankah MD, PhD, R. Hetzer MD, PhD (auth.), Roland Hetzer MD, PhD, J. Scott Rankin MD, Charles A. Yankah MD, PhD (eds.)

Surgical recommendations for the therapy of degenerative, ischemic, inflammatory, and sensible mitral valve illnesses have multiplied vastly in contemporary many years. nonetheless, a trouble exists with utilizing prosthetic mitral valves – in that mechanical valves express sturdy longevity yet require anticoagulation as opposed to the unpredictable toughness of organic valve prostheses. during the last few years, it has turn into transparent that reconstruction of the mitral valve with autologous tissues successfully addresses this limitation, without having for anticoagulation and ideal sturdiness, combining the simplest traits of either prosthetic thoughts with no the hazards. furthermore, more recent fix concepts, resembling autologous pericardial leaflet augmentation and synthetic choral alternative have multiplied reparative methods into almost all pathologies, with first-class long term effects in comparison to prosthetic valve substitute. at the moment, mitral fix is changing into the dominant strategy for therapy of virtually all patients with mitral valve sickness. This ebook is designed to demonstrate modern and infrequently different surgical concepts for numerous forms of mitral valve fix with contributions from the various leaders within the field.

Mitral Valve fix and the lately released Aortic Root surgical procedure are ebook guides coming up from the Berlin middle Valve Symposium 2008 entitled “ The organic Solution”. The Mitral Valve fix consultation used to be postponed to June 2009 and was once featured because the Berlin Mitral Valve Symposium on the joint assembly of the Society for middle Valve ailments and the guts Valve Society of the United States in Berlin. The e-book incorporates a choice of complaints on present concepts and results of mitral valve fix via a few of the specialists during this box which offer an authoritative reference resource for cardiac surgeons, relatives practitioners and clinicians.

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Likewise, patients with left-sided atrioventricular valve anomalies associated with septal defects and those with Marfan’s syndrome and other degenerative diseases were excluded (n=264). 5%) children who had MV reconstruction using various surgical techniques. Demographic data, surgical techniques used, postoperative course, and follow-up data provided by the Departments of Pediatric Cardiology and of Clinical Studies, Deutsches Herzzentrum Berlin as well as by the referring physicians were reviewed.

Fig. 4. Color Doppler TEE of the same patient as in Fig. 9. a Twodimensional 4-chamber view. b A large regurgitation jet filling the left atrium is visible. Arrows indicate prolapsing anterior mitral leaflet. 3 · Ischemic mitral incompetence 2 ⊡ Fig. 5. Spontaneous contrasting period of left atrium (c) at the time of cardiopulmonary bypass weaning in a patient after mitral valve reconstruction; patient suffered from destruction of the mitral valve by endocarditis. The flow in the left ventricle (LV) vanishes during spontaneous contrasting and if the mitral valve is incompetent it will produce a visible jet in the left atrium (LA) at the time of spontaneous contrasting.

Circulation 50:33–41 47. Grigioni F, Detaint D, Avirinos JF (2005) Contribution of ischemic mitral regurgitation to congestive heart failure after myocardial infarction. J Am Coll Cardiol 45:260–267 48. Rankin JS, Hickey MSJ, Smith LR, et al. (1989) Ischemic mitral regurgitation. Circulation 79(Suppl I):I-116–I-121 23 References 1 49. Frater RWM, Cornelissen P, Sisto D (1991) Mechanisms of ischemic mitral insufficiency and their surgical correction. In: Vetter HO, Hetzer R, Schmutzler H (eds) Ischemic Mitral Incompetence.

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