The decrease in the incidence of acute rheumatic fever in western countries has led to a sharp decrease in the incidence of mitral stenosis. This decrease also modifies the clinical presentation and mitral stenosis is now encountered in older patients who have severe impairment of valve anatomy. In developing countries, mitral stenosis remains a frequent disease. The management of patients with...

We report a case of rheumatic multivalvular heart disease for whom closed mitral commissurotomy (CMC) was done four years after pericardial strip posterior mitral annuloplasty and aortic valve replacement (AVR). An 18-year-old male who presented initially with rheumatic mitral regurgitation and aortic regurgitation was treated with AVR and pericardial strip posterior mitral annuloplasty in 1997...

Double orifice left atrioventricular valve (DOLAVV) or double orifice mitral valve (DOMV) is a rare congenital cardiac anomaly manifesting either as an isolated lesion (mitral stenosis or mitral insufficiency) or in association with other congenital cardiac defects. Signs of mitral valve disease are usually present along with the symptoms of associated coexistent congenital heart diseases. Mitr...

Transcatheter mitral valve intervention has emerged as an effective treatment option for symptomatic severe mitral regurgitation in patients considered to be inoperable or at high operative risk for surgical mitral valve surgery. Most transcatheter approaches are modifications of existing surgical approaches. Transcatheter edge-to-edge mitral valve repair with the MitraClip system has the large...

OBJECTIVE Ring annuloplasty prevents acute ischemic mitral regurgitation in sheep, but it also abolishes normal mitral annular and posterior leaflet dynamics. We investigated a novel surgical approach of simple septal-lateral annular cinching with sutures to treat acute ischemic mitral regurgitation. METHODS Nine adult sheep underwent implantation of multiple radiopaque markers on the left ve...

A 49 year old female presented with severe dyspnoea due to mitral regurgitation. Echocardiography revealed an aberrant mitral valve chord causing severe mitral regurgitation. The aberrant chord extended between the anterior mitral valve leaflet (AMVL) and the atrial septum causing AMVL prolapse. Resection of the aberrant chord and correction of the AMVL using synthetic Gore-Tex sutures was perf...

The M mode and two dimensional echocardiographic and the left ventricular end diastolic pressure was abnormalities of ruptured chorda tendinae of the mitral 18 mm Hg. Left ventricular angiography showed a dilated valve leaflets in non-rheumatic mitral valve disease have left ventricle with good contraction and severe grade IV been well documented.' 2 Echocardiographic abnormalities mitral regur...

A 69-year-old male presented with obstructive hypertrophic cardiomyopathy, mitral valve regurgitation, and myxomatous mitral valve prolapse. A spontaneous chordal rupture and acute severe mitral regurgitation resulted in abrupt clinical deterioration despite complete relief of severe left ventricular outflow tract obstruction and systolic anterior motion of the anterior mitral leaflet. The pati...

OBJECTIVES To investigate the effects of transvalvar flow rate on aortic valve resistance and valve area after percutaneous transvenous balloon dilatation of the mitral valve in a homogeneous group of patients with rheumatic heart disease. DESIGN Retrospective analysis of 12 patients with combined aortic and mitral stenosis who had undergone balloon dilatation of the mitral valve over a perio...

BACKGROUND There has been scant academic consideration paid to investigations of mitral leaflet flail in terms of clinical profile, surgical strategy, and surgical outcome. METHODS One hundred consecutive patients with mitral leaflet flail referred for surgical treatment in the past 4(2/3) years were included in this study. RESULTS The most common reasons leading to mitral leaflet flail wer...