atrioventricular groove rupture is a rare, albeit mortal, complication following mitral valve surgery. avoidance is the best strategy but it cannot fully prevent the occurrence of this complication. several repair techniques have been described with varying success rates; however, the rarity of the complication precludes consensus about the safest technique. here we report two cases of posterio...

BaIlon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. Also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. Immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmHg, transmitral valve gradient was 1.8±2 mmHg, and mit...

bailon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmhg, transmitral valve gradient was 1.8±2 mmhg, and mitral v...

The surgical procedures used to treat mitral valve disease have changed in the last 30 years. The aim of this study was to assess trends in surgical procedures for mitral valve disease at the Jikei University Hospital. From 1972 to 2003,770 patients with mitral valve disease underwent one of following procedures in our department:closed mitral commissurotomy,open mitral commissurotomy,mitral va...

Rheumatismal lesions of the mitral valve a!I'e rare under the age of six and surgical iruter­vention in symptomatic patients is an academic problem. Early surgical treatment has been done to prevent serious changes and unrevers­ib1e complications o.f the heart and lungs.  From April 71 until April 74, thirty-five pati­ent, ranging between 8-18 years of age, suffer­ing of <lifferents heart ,tro...

In cases of old myocardial infarction, the presence of mitral valve regurgitation is one of the predicting factors of long-term prognosis. The mechanism of ischemic mitral regurgitation consists of mitral annular dilatation, left ventricular (LV) dilatation followed by tethering of the mitral valve, etc. Since long-term prognosis of the patients in whom the degree of mitral valve regurgitation ...

A 69-year-old male presented with obstructive hypertrophic cardiomyopathy, mitral valve regurgitation, and myxomatous mitral valve prolapse. A spontaneous chordal rupture and acute severe mitral regurgitation resulted in abrupt clinical deterioration despite complete relief of severe left ventricular outflow tract obstruction and systolic anterior motion of the anterior mitral leaflet. The pati...

Percutaneous mitral valve therapy became a reality more than 25 years ago with the first description of balloon valvuloplasty for rheumatic mitral stenosis.1 More recently, percutaneous closure of paravalvular leaks after surgical valve implantation has been shown to have a potential, but limited, role.2–4 However, valvular mitral regurgitation (MR) remains largely the purview of surgery. Recen...

repair of the mitral valve is the treatment of choice for mitral valve regurgitation when the anatomy is favorable. it is well known that mitral valve repair enjoys better clinical and functional results than any other type of valve substitute. this fact is beyond doubt regardless of the etiology of the valve lesion and is of particular importance in degenerative diseases. this review analyzes ...