Interventional closure of a mitral valvular leaflet defect after partial detachment of a carpentier perimount annuloplasty ring.

نویسندگان

  • Robert Schueler
  • Nikos Werner
  • Georg Nickenig
  • Christoph Hammerstingl
چکیده

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Partial detachment of mitral valve annuloplasty ring and evaluation with real-time 3D-transesophageal echocardiography

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Rigid, complete annuloplasty rings increase anterior mitral leaflet strains in the normal beating ovine heart.

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Mitral stenosis (MS) after mitral valve (MV) repair is a slowly progressive condition, usually detected many years after the index MV surgery. It is defined as a mean transmitral pressure gradient (TMPG) >5 mmHg or a mitral valve area (MVA) <1.5 cm(2). Pannus formation around the mitral annulus or extending to the mitral leaflets is suggested as the main mechanism for developing delayed MS afte...

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The echocardiographic appearances of the mitral valve after reconstructive surgery for non-rheumatic mitral regurgitation have been studied. Twenty-two patients, divided into 3 groups, were studied. In group 1 there were 12 patients with ruptured chordae tendineae and/or anterior mitral leaflet perforation, who underwent chordal reattachment and plication of leaflets or commissures. After opera...

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BACKGROUND Ischemic mitral regurgitation (IMR) is associated with asymmetric changes in annular and ventricular geometry. Surgical repair with standard symmetric annuloplasty rings results in a high incidence of residual or recurrent mitral regurgitation (MR). The Carpentier-McCarthy-Adams (CMA) IMR ETlogix annuloplasty ring is the first remodeling ring specifically designed to treat asymmetric...

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عنوان ژورنال:
  • JACC. Cardiovascular interventions

دوره 7 6  شماره 

صفحات  -

تاریخ انتشار 2014