A 30-year-old man with a history of ischemic cerebrovascular accident 3 years previously was admitted to our hospital because of sudden onset of aphasia. A brain magnetic resonance imaging showed a subacute lacunar infarction. A transthoracic echocardiogram (Picture 1) revealed a spherical mass (8×8 mm) anchored on the atrial surface of the anterior leaflet of the mitral valve, compatible with ...

A 49-year-old man with Lutembacher's syndrome associated with frontal meningioma referred to our hospital. He also suffered from exertional dyspnea. Transthoracic echocardiography demonstrated mitral valve area of 1.48 cm2, moderate mitral stenosis, and left atrial dimension (LAD) of 5.6 cm with no clot. TEE revealed severe mitral stenosis, mitral valve area of 1.05 cm2 with wilkins 8-10 score,...

Relevant secondary mitral regurgitation occurs in 35– 50% of patients with chronic heart failure and is associated with increased mortality. Surgical management of patients with mitral valve regurgitation and heart failure remains controversial. There are several questions which are not sufficiently clarified because of a lack of prospective randomised controlled trials: (1.) The indication for...

In this case, a successful mitral valve repair was confirmed by transesophageal echocardiography (TEE) at the end of a cardiopulmonary bypass. The left ventricular vent was placed through the mitral valve to remove the air after the TEE examination, and on its way out, the left ventricular vent damaged the anterior mitral leaflet (AML). Re-examination of the valve with TEE detected the new mitr...

rom the *Department of ardiovascular Medicine, leveland Clinic oundation, Cleveland, hio; and the †Department f Cardiothoracic Surgery, leveland Clinic oundation, Cleveland, hio. anuscript received arch 2, 2010; ccepted April 8, 2010. A27-year-old woman with a history of coarctation repair at 15 months of age presented with new-onset fatigue, intermittent palpitations, and shortness of breath. ...

OBJECTIVES Although mitral valve repair is rarely required in neonates, this population is considered to be at high risk for adverse outcomes. The aim of this study was to review the indications for surgery, mechanisms, repair techniques, and mid-term outcomes of neonatal mitral valve repair. METHODS The demographic, procedural, and outcome data were obtained for all neonates who underwent mi...

Valvular disease is common in patients undergoing left ventricular assist device (LVAD) implantation. Concomitant valve surgery increases procedural complexity and cardiopulmonary bypass time and may lead to worse outcomes. Although mitral regurgitation is the most common mitral valve dysfunction in patients undergoing LVAD implantation, mitral stenosis (MS) is occasionally encountered. MS can ...

The appropriateness and timing of mitral valve surgery in patients with advanced heart failure and severe mitral regurgitation remains controversial. Recent surgical results provide evidence for beneficial effects on left ventricular remodeling and functional capacity. Given the absence of randomized trials comparing the outcomes of mitral valve surgery to medical therapy, however, clinical dec...

Introduction: Mitral valve replacement with chordal preservation requires technical skill, long cross clamp time and prolonged ischemic time of myocardium. Materials and Methods: All patients undergoing mitral valve replacement in the Department of Cardiothoracic Surgery, Government Rajaji Hospital during December 2009 to December 2011 were included in the study. Results: All the observations a...

Adequate exposure is a prerequisite for open valve surgery. The mitral valve can rarely be very challenging to expose. We describe a redo double valve replacement in a patient with nephrogenic systemic fibrosis in whom exposure of the mitral valve was achieved with cardiac autotransplantation.