scholarly journals Surgical reconstruction techniques for mitral valve insufficiency from lesions with restricted leaflet motion in infants and children

2012 ◽  
Vol 143 (4) ◽  
pp. S48-S53 ◽  
Author(s):  
Eva Maria Delmo Walter ◽  
Takeshi Komoda ◽  
Henryk Siniawski ◽  
Roland Hetzer
2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Yan Liu ◽  
Beth W. Miller

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the first one to two months of life. The majority of these cases die in infancy if not corrected early upon presentation. Adulthood presentation is rare and most of the untreated patients who reach adulthood present with left ventricular dysfunction, severe mitral regurgitation, and sometimes myocardial infarction. Here we report a case of a 20-year-old woman with a history of exercise intolerance since childhood that was misinterpreted as asthma until a 2D-Echo revealed ALCAPA with RCA collaterals to the left anterior descending artery, preserved LV ejection fraction, and absence of apparent mitral valve abnormality. One month after the ALCAPA diagnosis, she successfully underwent surgical reconstruction of left main and pulmonary artery without any major complications. She had normal left ventricular function without apparent ischemic cardiac symptoms eighteen months after procedure.


2005 ◽  
Vol 6 (2) ◽  
pp. 27
Author(s):  
Dimitrios Buklas ◽  
Massimo Massetti ◽  
Eric Saloux ◽  
Eugenio Neri ◽  
Olivier LePage ◽  
...  

Several techniques are currently in use for mitral valve reconstruction. We report a mitral repair case in which the use of a combination of different surgical techniques resulted in the necessary correction. A 47-year-old woman underwent surgical intervention to treat severe mitral valve insufficiency due to A1/A2/A3 and P2 prolapsed valve tissue. A combination of quadrangular resection, sliding leaflet, single chordal transposition, "flip-over" leaflet, and ring annuloplasty techniques were applied, and postsurgical correct valve function was documented by results of a left ventricular saline filling test and transesophageal echocardiography control. Complex mitral valve repairing techniques can be combined to reestablish valvular function.


2012 ◽  
Vol 43 (3) ◽  
pp. 473-482 ◽  
Author(s):  
Eva Maria Delmo Walter ◽  
Takeshi Komoda ◽  
Henryk Siniawski ◽  
Oliver Miera ◽  
Richard Van Praagh ◽  
...  

1997 ◽  
Vol 50 (7) ◽  
pp. 399-402
Author(s):  
Yoko OGUCHI ◽  
Hideki MATSUMOTO ◽  
Yuko MASUDA ◽  
Sanae MASADA ◽  
Yoshihiro KUNO ◽  
...  

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