Mitral valve regurgitation (MR) is uncommon as an isolated lesion in congenital heart disease. In 1995, we encountered two children with congenital isolated MR complicated with heart failure, and both underwent valvuloplastic surgery. Resection and/or plication of the redundant leaflets combined with annuloplasty for the dilated annulus successfully restored the valve competency. Traditionally ...

Ischemic mitral regurgitation is a common complication of the healing phase of myocardial infarction. A number of mechanisms have been invoked in its pathogenesis, including alterations of papillary muscle position, annular dynamics, and intraventricular synchrony. The echocardiographic hallmark of ischemic mitral regurgitation is systolic tethering of the mitral valve leaflets away from the an...

OBJECTIVE To review a 2-institution experience with minimally invasive mitral valve surgery over a 12-year period. METHODS We prospectively collected data on all patients having minimally invasive mitral valve surgery through a right minithoracotomy between May 1996 and May 2008. RESULTS A total of 1178 patients included 941 (79.9%) patients having mitral valve repair and 237 (20.1%) having...

OBJECTIVE To analyze the immediate and late results of mitral valve repair with quadrangular resection of the posterior leaflet without the use of a prosthetic ring annuloplasty. METHODS Using this technique, 118 patients with mitral valve prolapse who underwent mitral repair from January '84 through December '96 were studied. Age ranged from 30 to 86 (mean = 59.1 +/- 11.8) years and 62.7% we...

We report a rare case of a hemodialysis patient with a calcified amorphous tumor (CAT) on both sides of the atrioventricular valve annulus. A 70-year-old female who had received hemodialysis for 23 years because of chronic glomerulonephritis presented to our hospital with acute heart failure. Echocardiography indicated the presence of mobile cardiac masses on the mitral valve and tricuspid valv...

BACKGROUND Several investigators have reported the feasibility of mitral valve repair in active endocarditis, but the long-term results are still unknown. METHODS AND RESULTS We reviewed 37 consecutive patients who underwent mitral valve repair with the Carpentier technique for active endocarditis in our center between 1989 and 1994. This repair involved prosthetic annuloplasty in 31 patients...

Uncorrected chronic ischemic mitral regurgitation (CIMR) is associated with decreased left ventricular (LV) torsion and may contribute to a vicious cycle wherein “MR begets MR.” It has not been definitively established, however, whether the reduced LV torsion in CIMR is a direct result of the infarct, the MR, or a combination of the two. Currently, the most common technique to restore valve com...

BACKGROUND Moderate-to-severe functional tricuspid regurgitation (TR) should be corrected in patients undergoing surgery for left-sided valvular diseases, to improve long-term outcomes. Several techniques of surgical repair (suture annuloplasty or prosthetic annuloplasty) to correct this condition have been described. Multiple clinical studies have shown the superiority of prosthetic remodeling...

INTRODUCTION Degenerative mitral regurgitation is currently the most frequent indication for mitral valve repair. AIM To visualize and assess the mid-term results of mitral valve repair with neochordae implantation, using computed tomography angiography (CTA) imaging. MATERIAL AND METHODS The CTA with ECG gating and without modulation was applied in 10 patients to assess the results of a mi...