The Long-Term Results of Mitral Valve Reconstruction for the "Floppy" Valve

Lh, Cohn; Gs, Couper; Aranki, Sary F.; Rizzo, RJ; Adams, DH; Collins, Jr Jj

doi:10.1111/j.1540-8191.1994.tb00941.x

Cited by 44 publications

(35 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Failure to add an annuloplasty to a MV reconstructive procedure is associated with an increased risk of late reoperation. 18,19) The annuloplasty ring size for patients who underwent chordal reconstruction was significantly larger compared to those who underwent leaflet resection. Postoperative transmitral gradients were lower in the chordal reconstruction group.…”

Section: Discussionmentioning

confidence: 99%

Chordal Reconstruction versus Leaflet Resection for Repair of Degenerative Posterior Mitral Leaflet Prolapse

Chua

Pang

Yap

et al. 2016

ATCS

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Chordal Reconstruction versus Leaflet Resection for Repair of Degenerative Posterior Mitral Leaflet Prolapse

Chua

Pang

Yap

et al. 2016

ATCS

View full text Add to dashboard Cite

“…However, it has also been reported to be associated with many conditions including connective tissue disorders. [1][2][3] MVP is three-times more prevalent in patients with BJHMS than other patients and may be present in up to one third of all individuals with BJHMS. [7][8][9]29) However, there are a few reports with conflicting results on the incidence of BJHMS in MVP 15,16) and the relation between the echocardiographic features of mitral valves and elastic properties of the aortic wall and BHS in patients with both MVP and BJHMS.…”

Section: Discussionmentioning

confidence: 99%

“…1) However, MVP occurs quite commonly in heritable disorders of connective tissue that increase the size of the mitral leaflets and apparatus, including Marfan syndrome, 2) Ehlers-Danlos syndrome, 3) and pseudoxantoma elasticum. 4) Increased joint laxity in patients with MVP was first reported in 1976 5) and denied in 1977.…”

mentioning

confidence: 99%

The Relationship Between Echocardiographic Features of Mitral Valve and Elastic Properties of Aortic Wall and Beighton Hypermobility Score in Patients With Mitral Valve Prolapse

et al. 2004

View full text Add to dashboard Cite

SUMMARYThe present study was designed to investigate the incidence of benign joint hypermobility syndrome (BJHMS) in mitral valve prolapse (MVP) and the correlation between the echocardiographic features of the mitral valve and elastic properties of the aortic wall and Beighton hypermobility score (BHS) in patients with MVP and BJHMS.Fourty-six patients with nonrheumatic, uncomplicated, and isolated mitral anterior leaflet prolapse (7 men and 39 women, mean age; 26.1 ± 5.9) and 25 healthy subjects (3 men and 22 women, mean age, 25.4 ± 4.3) were studied. Patients were divided into two groups according to their BHS (group I, MVP+BJHMS; group II, MVP-BJHMS). Individuals with accompanying cardiac or systemic disease were excluded. Echocardiographic examination was performed in all subjects. The presence of BJHMS was evaluated according to Beighton's criteria.The incidence of BJHMS in patients with MVP was found to be significantly higher than that of controls (45.6%, (21/46) vs 12% (3/25), P < 0.0001). Group I (MVP + BJHMS) had significantly increased anterior mitral leaflet thickness (AMLT, 3.4 ± 0.4 vs 3.1 ± 0.3; P < 0.005), maximal leaflet displacement (MLD, 2.4 ± 0.4 vs 1.7 ± 0.4; P < 0.005), and degree of mitral regurgitation (DMR, 17.1 ± 7.2 vs 11.2 ± 4.4; P < 0.01) compared to group II. However, the index of aortic stiffness (IAOS) was found to be lower (17.6 ± 6.9 vs 23.9 ± 7.6; P < 0.005) and aortic distensibility (AOD) to be higher (0.0035 ± 0.007 vs 0.0024 ± 0.005; P < 0.005) in group I. There was a significant correlation between AMLT, MLD and DMR, and BHS (r = 0.57/P = 0.007, r = 0.55/P < 0.009, r = 0.51/P < 0.01, respectively). In addition, AOD correlated positively with BHS (r = 0.53/ P < 0.005), but the index of aortic stiffness correlated inversely with BHS (r = -0.49/P < 0.007).The incidence of BJHMS in patients with MVP was more frequent than the normal population and there was a significant correlation between the severity of BJHMS From the

show abstract

“…Its prevalence depends on the severity of heart failure, and rises approximately from 5% in the NYHA I functional class up to 50% in NYHA IV class 7 . Up to 50% of patients undergoing mitral valve surgery are diagnosed with AF prior to the surgery [8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Cardiac Rhythm and Atrial Transport Function After Surgical Ablation of Atrial Fibrillation Using Cryoenergy: Predictors and Effectiveness of the Procedure

Kolek¹,

Brát²

2010

BIOMED PAP

View full text Add to dashboard Cite

Aim. The aim of this prospective study was to assess the presence of sinus rhythm and atrial transport function after surgical ablation of atrial fibrillation using cryoenergy, and to evaluate predictors of the success of the procedure.Methods. Between January 2005 and September 2006, 100 consecutive patients underwent left atrial cryoablation as a concomitant surgical procedure (46 patients with paroxysmal or persistent atrial fibrillation and 54 with permanent atrial fibrillation). Mitral valve surgery was performed in 74%. The mean and the median times of follow-up were 20 ± 8.5, and 24 months respectively. Atrial mechanical function was assessed by echocardiography.Results. Sinus rhythm was achieved during the postoperative follow-up in 71-81% of patients -significantly more often in the group with paroxysmal and persistent atrial fibrillation (90-98%), than patients with permanent atrial fibrillation prior to surgery (51-65%) (p<0.002). At 12 and 24 months after the surgery, a total of 68.2% and 51.2% of the patients were free from atrial fibrillation; 73.9% and 60.7% of the patients from the paroxysmal and persistent atrial fibrillation group, and 60.3% and 37.7% of patients with permanent atrial fibrillation (p=0.05). Five per cent of patients required postoperative permanent pacemaker implantation. An effective left and right atrial mechanical function was detected in 70-90%, and 96-98% of patients with sinus rhythm respectively. The following circumstances were identified as negative predictors of the presence of sinus rhythm after the ablation procedure: growing diameter of the left atrium, the duration of atrial fibrillation and the severity of mitral and tricuspid regurgitation before surgery (p<0.05). Restoration of the left atrial transport function was negatively predicted by the preoperative diameter of the left atrium, the presence of mitral valve stenosis and the severity of tricuspid regurgitation (p<0.05). A total of 95.4% of patients were free from stroke at one-year follow-up, and 94.1% at 2 years after surgery.Conclusion. Stable sinus rhythm and effective left atrial transport function are the main factors resulting in decreased morbidity after successful ablation of atrial fibrillation. A careful post-operative follow-up of the patients and individualised treatment are necessary.

show abstract

The Long-Term Results of Mitral Valve Reconstruction for the "Floppy" Valve

Cited by 44 publications

References 7 publications

Chordal Reconstruction versus Leaflet Resection for Repair of Degenerative Posterior Mitral Leaflet Prolapse

Chordal Reconstruction versus Leaflet Resection for Repair of Degenerative Posterior Mitral Leaflet Prolapse

The Relationship Between Echocardiographic Features of Mitral Valve and Elastic Properties of Aortic Wall and Beighton Hypermobility Score in Patients With Mitral Valve Prolapse

Cardiac Rhythm and Atrial Transport Function After Surgical Ablation of Atrial Fibrillation Using Cryoenergy: Predictors and Effectiveness of the Procedure

Contact Info

Product

Resources

About