BACKGROUND Ischemic mitral regurgitation is caused by systolic traction on the mitral leaflets related to ventricular distortion. Little is known about how chronic tethering affects leaflet area, in part because it cannot be measured repeatedly in situ. Recently, a new method for 3D echocardiographic measurement of mitral leaflet area was developed and validated in vivo against sheep valves, la...

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. ...

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...

INTRODUCTION Right ventricular (RV) remodelling may be an important determinant of clinical outcome in patients undergoing mitral valve surgery for mitral regurgitation. In the present study we hypothesised that, compared to valve replacement, mitral valve repair for degenerative mitral regurgitation may result in better RV remodelling, as assessed by real-time, three-dimensional echocardiograp...

We tested the hypotheses that Doppler echocardiography has a higher accuracy than clinical evaluation in the detection of significant aortic and mitral valvular heart disease and that Doppler echocardiography is highly accurate as compared with cardiac catheterization for the assessment of valvular disease severity. Thus, cardiac catheterization for the assessment of valve lesion severity may b...

Mitral valve repair offers superior long-term survival, freedom from cardiac morbidity, and quality of life in patients with severe mitral regurgitation compared to medical management and mitral valve replacement; it is the treatment of choice in these patients. Mitral valve repair is the only treatment that restores normal life expectancy to otherwise healthy patients with advanced degenerativ...

Introduction: Surgical valve replacement is not always feasible in patients with severe mitral regurgitation from a failing bioprosthetic valve or severe mitral annular calcification. Off-label use of transcatheter aortic valves has been described in the literature as a possible method of valve replacement for this patient population. We review the literature on this practice as well as present...

INTRODUCTION The anterior mitral leaflet cleft is an unusual congenital lesion most often encountered in association with other congenital heart defects. The isolated anterior leaflet cleft is quite a rare anomaly and is usually cause of mitral valve regurgitation. The importance of the lesion is that it is often correctable. When feasible, cleft suture and, eventually, annuloplasty are prefera...

Mitral valve interventions are the next frontier for the structural heart interventionalist. Several challenges have to be overcome, including the variability of mitral valve disease and anatomy, the need for advanced imaging and the need for multiple devices, potentially to be used in combination. However, the unmet need for less-invasive treatments for mitral valve insufficiency is a great dr...

BACKGROUND High morbidity and mortality due to Rheumatic heart disease (RHD) associated with females is mainly because of late diagnosis on one hand and socioeconomic reasons on the other hand. Poor referral to tertiary care centres leads to delayed diagnosis which results in complications. The objectives of this cross-sectional descriptive study was to assess the frequency of severe mitral ste...