BACKGROUND Mitral valve calcification is often incidentally detected on chest computed tomography (CT) scans obtained for a variety of noncardiac indications. In this study, we evaluated the association between mitral valve calcification incidentally detected on chest CT and the presence and severity of mitral valve disease on echocardiography. METHODS Of 760 patients undergoing 64-row multid...

The slope of the posterior left ventricular wall motion in diastole (LVDS) was determined by echocardiography in 25 normal subjects and 21 patients with mitral stenosis. Patients with mitral stenosis had reduced LVDS that was related to the degree of mitral stenosis determined by calculated mitral valve area (r = 0.92). The mitral valve area correlated more closely with the LVDS than with the l...

Eighty-five patients underwent mitral valve reconstruction by the Carpentier method from January 1976 to December 1981. Concomitant procedures were performed in 30 patients (aortic valve replacement in 23, coronary revascularisation in six, and tricuspid valve repair in seven). Before operation 76 patients (89%) were in clinical class II or III (New York Heart Association) and atrial fibrillati...

The value of pulsed Doppler echocardiography in the assessment of mitral stenosis was studied in a consecutive series of 175 patients before rightand left-heart catheterization. All Doppler recordings were interpreted independently by two observers. Twenty patients had repeat studies to demonstrate the reproducibility of the method. Adequate recordings were obtained in 156 patients. A normal fl...

The value of pulsed Doppler echocardiography in the assessment of mitral stenosis was studied in a consecutive series of 175 patients before rightand left-heart catheterization. All Doppler recordings were interpreted independently by two observers. Twenty patients had repeat studies to demonstrate the reproducibility of the method. Adequate recordings were obtained in 156 patients. A normal fl...

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

Ann Cardiothorac Surg 2013;2(6):857 www.annalscts.com Background The mitral valve controls the direction and flow of blood through the left chambers of the heart. If the valve becomes too hard (calcified) and too narrow (stenosis), flow will be reduced; if the valve becomes too loose, flow might travel backwards (regurgitation). Abnormal blood flow will force the heart to work harder, eventuall...

OBJECTIVES Evaluation of coronary anatomy in survivors of staged palliation for hypoplastic left heart syndrome might be capable of identifying anomalies and morphologic changes of the coronary arteries that may have implications for outcome. METHODS We reviewed coronary angiograms obtained by native aortic root injection of 84 patients (mitral atresia/aortic atresia, n = 39; mitral stenosis/...

A 56-year-old woman was admitted for recurrent, refractory congestive heart failure. When she was aged 17 years, she had a Hodgkin lymphoma treated by chest radiation. She then developed postradiation heart disease, which required surgery in 2004, combining mitral valve repair using a Physio semirigid ring sized 28 mm (Edwards Lifesciences Inc; Irvine, CA) and tricuspid annuloplasty. In March 2...

We report a 71-year-old man with severe mitral valve regurgitation in end stage heart failure intractable to medical treatment. He underwent mitral valve repair, coronary artery bypass grafting and tricuspid annuloplasty, and his postoperative course was uneventful with significant improvement of his symptoms. Mitral valve repair should be considered as a treatment modality in patients with car...