Hemodynamic and energetic aspects of the left ventricle in patients with mitral regurgitation before and after mitral valve surgery

2015 ◽  
Vol 42 (6) ◽  
pp. 1705-1712 ◽  
Author(s):  
Nadya Al-Wakeel ◽  
Joao Filipe Fernandes ◽  
Aref Amiri ◽  
Henryk Siniawski ◽  
Leonid Goubergrits ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Mitral Regurgitation ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Before And After

scholarly journals Recent Echocardiography Parameters for Predicting Better Functional Result after Mitral Valve Correction Surgery in Patients with Primary Mitral Regurgitation

2021 ◽  
Author(s):  
Indah Puspita ◽  
Amiliana M Soesanto ◽  
Estu Rudiktyo ◽  
Rina Ariani ◽  
Ario Suryo Kuncoro
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Mitral Regurgitation ◽  
Functional Result ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
End Diastolic Volume ◽  
Echocardiographic Parameters ◽  
Correction Surgery ◽  
Primary Mitral Regurgitation

Abstract   Objectives We analyzed whether some echocardiographic parameters are good predictors of functional result after mitral valve correction surgery.    Background Ejection fraction was not the only parameter to decide optimal time for surgery, nor an indicator for a better functional result after surgery. Severity measurement being a main consideration in surgery decision. Reduced left ventricle dimension after surgery reflect a better functional result.   Methods In 2019, 67 patients was included in this analysis. Age 53 (17-67) years, male 52,2%. All patients are with severe primary mitral regurgitation and treated by mitral valve surgery (mitral valve repair or replacement). Retrospective echocardiographic analysis was performed, to find the best parameter for predicting better functional outcome after surgery.   Results Data was collected from January to December 2019. From 262 primary mitral valve surgery underwent in National Heart Center Harapan Kita, there was 67 patients included, the other was excluded due to probability of secondary mitral regurgitation mechanism, concomitant congenital heart disease and or other significant valves disease, missing post-surgery data due to referral flow to the prior hospital and less complete echocardiographic views for further analysis. In bivariate analysis, end-diastolic volume (EDV) and regurgitant volume (RV) were strong predictor of decreasing left ventricle diameter after surgery (p 0.0001 and p 0.05). End-diastolic volume 133,5 ml or more is predictive for decreasing left ventricle diameter if surgery was conducted (sensitivity 87.3%, sensitivity 66.7%).       Conclusions EDV and RV found to be good predictors for functional outcome of primary mitral valve surgery than other echocardiographic parameters. Measuring EDV before deciding timing of surgery will be helpful in targeting better functional result after surgery.    

scholarly journals Microinvasive Mitral Valve Surgery: A New Frontier to Tackle Mitral Regurgitation

2021 ◽  
Author(s):  
Solomon Seifu ◽  
Eduardo de Marchena
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Repair System ◽  
Valve Repair ◽  
Mitral Repair ◽  
New Frontier ◽  
Clinical Benefits

Microinvasive, catheter-based mitral valve repair of severe mitral regurgitation utilizes less invasive approaches with less procedural morbidity and mortality. The procedural steps and clinical benefits of the transcatheter transapical mitral valve annuloplasty (AMEND mitral repair implant) and transcatheter transapical chordal repair systems (Neochord DS 1000 device and Harpoon Mitral Valve Repair System) are reviewed in this manuscript.

scholarly journals Comparison of percutaneous MitraClip versus mitral valve surgery for severe mitral regurgitation: a meta-analysis

2020 ◽  
Vol 6 (2) ◽  
pp. 77-84
Author(s):  
Tom Kai Ming Wang ◽  
Andrew Chatfield ◽  
Michael Tzu Min Wang ◽  
Peter Ruygrok
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Meta Analysis ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Severe Mitral Regurgitation
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