The aim of this randomized, prospective, study was to evaluate postoperative hospital mortality and morbidity after mitral valve repair by comparing two surgical techniques for resolving mitral valve insufficiency in elderly patients. In comparison were: mitral valve repair vs. mitral valve replacement in patients older than 70 years. In period from January 1st 2006 until August 30th 2009. Eigh...

INTRODUCTION Mitral valve repair is the treatment of choice to correct mitral insufficiency, although the literature related to mitral valve annulus behavior after mitral repair without use of prosthetic rings is scarce. OBJECTIVE To analyze mitral annulus morphology and function using real time tridimensional echocardiography in individuals submitted to mitral valve repair with Double Teflon...

Objective: Mitral valve repair in rheumatic patients is still a challenge. The aim of this study is to assess the results of mitral valve repair in rheumatic patients with rheumatic mitral insufficiency. Methods: 330 patients with rheumatic mitral insufficiency who had undergone mitral valve repair in the Heart Institute HC-FMUSP were assessed retrospectively, between 1985 and 2005. The mean ag...

In a patient with endocarditis and significant aortic insufficiency, two-dimensional echocardiography revealed an abnormal mitral valve configuration with division of the valve into two separate orifices. At autopsy, a double orifice mitral valve with two sets of valve leaflets was observed. Appreciation of this echocardiographic abnormality is important because double orifice mitral valve is a...

OBJECTIVE To describe the experience with the technique of posterior leaflet extension in children suffering of rheumatic mitral regurgitation. METHODS Between April 2002, and October 2007, 30 children, mean age 11.3 years, underwent correction of mitral insufficiency with the technique of posterior leaflet extension with a pericardial patch. Eight also received a Carpentier ring. Six childre...

OBJECTIVES The study aimed to evaluate the feasibility of off-pump transapical mitral valve-in-ring implantation and to test the performance of a custom-made self-expandable stent valve, in comparison with the standard SAPIEN valve. METHODS Acute experiments were performed in five pigs. Animals (mean weight 58.4 ± 7.3 kg) underwent mitral valve annuloplasties under cardiopulmonary bypass usin...

Minimally invasive aortic valve replacement (MICSAVR) has traditionally been performed through forechest approaches, including partial sternotomy, parasternal thoracotomy, or anterior inter-costal thoracotomy (1-3). Proximity to the ascending aorta and aortic valve seems to be advantageous in these approaches. Fore-chest skin incisions are not necessarily ideal, as minimally invasive surgery ma...

Supplementary material (Videos 1 and 2) is available at EJCTS online. Video 1: Transoesophageal echocardiography showing a blockade of one of the leaflets of the mitral valve prosthesis due to a giant pannus formation with a resulting stenosis and insufficiency. Video 2: Fluoroscopy of aortic valve (top) and mitral valve (bottom) prostheses. There is an almost normal motion amplitude of one lea...