Cardiac surgery for Jehovah's Witness (JW) patients is considered to be high risk because of patients' refusal to receive blood transfusion. We report a successful mitral valve replacement for recurrent mitral stenosis after OMC with minimally invasive right thoracotomy, without any transfusion of allogeneic blood or blood products. This minimally invasive mitral valve replacement through right...

background: several competing geometric and hemodynamic factors are suggested as contributing mechanisms for functional mitral regurgitation (mr) in heart failure patients. we aimed to study the relationships between the severity of mr and the qrs duration and dyssynchrony markers in patients with ischemic or dilated cardiomyopathy. methods: w e prospectively evaluated 251 heart failure patient...

OBJECTIVE Robotic mitral valve repair is the least invasive approach to mitral valve repair, yet there are few data comparing its outcomes with those of conventional approaches. Therefore, we compared outcomes of robotic mitral valve repair with those of complete sternotomy, partial sternotomy, and right mini-anterolateral thoracotomy. METHODS From January 2006 to January 2009, 759 patients w...

background: left ventricular (lv) twist is due to oppositely directed apical and basal rotation and has been proposed as a sensitive marker of lv function. we sought to assess the impact of chronic pure mitral regurgitation (mr) on the torsional mechanics of the left human ventricle using tissue doppler imaging. methods: nineteen severe mr patients with a normal lv ejection fraction and 16 non-...

The causes of mitral valve insufficiency may largely be divided into two categories: organic or primary and functional or secondary. In the first case, the cause of insufficiency is due to a morphological change of the valve. Numerous diseases may damage the valve. Of the degenerative disease we may list myxomatous degeneration, fibroelastic deficiency or annular calcifications. Of the phlogist...

background: ischemic mitral regurgitation (imr) is a common complication after acute myocardial infarction (ami). we aimed to investigate the frequency of imr following first-time ami and its association with infarct location, in-hospital mortality, and complications. methods: from september 2011 to november 2012, all patients with a diagnosis of first-time acute st-elevation mi were enrolled i...

A 47 year-old female died after mitral valve replacement. Post-cardiopulmonary bypass right ventricle was not able to pump despite good left ventricular contractility. At microscopic examination, diffuse right ventricular fatty infiltration was found. We found no previous report of this pathology in patients with mitral stenosis

OBJECTIVE To study mitral valve function in the postoperative period after correction of the partial form of atrioventricular septal defect. METHODS Fifty patients underwent surgical correction of the partial form of atrioventricular septal defect. Their mean age was 11.8 years and 62% of the patients were males. Preoperative echocardiography showed moderate and severe mitral insufficiency in...

OBEJECTIVES The objectives of this study were to compare and analyze the results of right anterolateral thoracotomy and median sternotomy approach for primary mitral valve replacement with reference to the exposure during Valve Replacement , length of surgical incision, mean cross clamp time, mean bypass time, intensive care unit (ICU) stay, hospitalization, overall comorbidity with sternotomy;...

OBJECTIVE Mitral valve surgery can be performed through the trans-atrial or the trans-septal approach. Although the trans-atrial is the preferred method, the trans-septal approach has also been used recently and has a particular value in beating-heart mitral valve surgery. Herein we report our experience with beating-heart mitral valve surgery via trans-septal approach, and discuss its advantag...