Mitral valve insufficiency: Transcatheter mitral valve implantation

2015 ◽  
pp. 420-423
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Insufficiency ◽  
Valve Insufficiency ◽  
Valve Implantation

Concomitant Transapical Transcatheter Aortic Valve Implantation and Transapical Mitral Valve Repair With NeoChord Implantation

2019 ◽  
Vol 14 (6) ◽  
pp. 564-568
Author(s):  
Marie-Elisabeth Stelzmueller ◽  
Robert Zilberszac ◽  
Nikolaus Heinrich ◽  
Bruno Mora ◽  
Guenther Laufer ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Mitral Valve Insufficiency ◽  
Safe Procedure ◽  
Transcatheter Aortic Valve ◽  
Valve Insufficiency ◽  
Aortic Valve Implantation ◽  
Valve Implantation

One-third of the patients with severe symptomatic aortic valve stenosis (sAS) present with hemodynamic relevant mitral valve insufficiency (rMI). In patients who undergo conventional surgery, the rMI never would be left untreated; however, in cases of transcatheter aortic valve implantation (TAVI), the impact of rMI is often overlooked and left untreated. The combination of transapical TAVI (TA-TAVI) and NeoChord implantation represents a novel, promising therapeutic option for high-risk-surgery patients with sAS and rMI due to a prolapsed or flailed leaflet. This case report describes 2 patients (1 male, 1 female; mean age 82 years) who underwent TA-TAVI and concomitant NeoChord implantation at our institute. Both presented with sAS and rMI due to a prolapse of the P2 segment of the mitral valve. At first, the TA-TAVI was implanted under angio-guidance, followed by three-dimensional echo-guided implantation of the NeoChords, through the same approach, which was slightly posterior and lateral to the apex. TA-TAVI using an Edwards Sapien 3 (26 mm, n = 1 and 29 mm, n = 1) and NeoChord implantation (2 in the first and 3 in the second patient) was successful in both cases. Post-intervention discharge echo indicated no paravalvular or central insufficiency after the procedure and only a trace of mitral valve insufficiency. TA-TAVI and concomitant NeoChord implantation is a feasible and promising treatment option for high-risk patients with rMI. Despite its technical demands, in experienced hands, it is a safe procedure for those not well suited for surgical intervention.

A Complex Mitral Valve Reconstruction: A Case Report

2005 ◽  
Vol 6 (2) ◽  
pp. 27
Author(s):  
Dimitrios Buklas ◽  
Massimo Massetti ◽  
Eric Saloux ◽  
Eugenio Neri ◽  
Olivier LePage ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Surgical Techniques ◽  
Mitral Valve Insufficiency ◽  
Left Ventricular ◽  
Mitral Valve Reconstruction ◽  
Mitral Repair ◽  
Valve Reconstruction ◽  
Valve Insufficiency ◽  
Valve Function ◽  
Valvular Function

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.

scholarly journals Two Canine Cases of Mitral Valve Insufficiency with Atrial Fibrillation

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

scholarly journals Evaluation of Plasma N-Terminal Pro-Brain Natriuretic Peptide (NT-proBNP) Concentrations in Dogs with Mitral Valve Insufficiency

2009 ◽  
Vol 71 (7) ◽  
pp. 925-929 ◽  
Author(s):  
Naoyuki TAKEMURA ◽  
Noriko TODA ◽  
Yuichi MIYAGAWA ◽  
Kazuyuki ASANO ◽  
Kenji TEJIMA ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Brain Natriuretic Peptide ◽  
Natriuretic Peptide ◽  
Mitral Valve Insufficiency ◽  
Valve Insufficiency

Murmur on top of the head: bioprosthetic mitral valve insufficiency

2021 ◽  
Vol 14 (10) ◽  
pp. e245117
Author(s):  
Albahi Malik ◽  
Aneeqa Saif ◽  
Awsse Al-Ani ◽  
Christopher Haas
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Heart Valves ◽  
Mitral Valve Insufficiency ◽  
Lumbosacral Spine ◽  
Subacute Bacterial Endocarditis ◽  
Direct Recording ◽  
Valve Insufficiency ◽  
Bioprosthetic Mitral Valve ◽  
Rheumatic Heart

In 1961, K Merendino ‘in pure curiosity’, while tracking the murmur of mitral regurgitation, placed his stethoscope ‘on the vertex of the head’, and ultimately led to a medical curiosity and exam finding that not only bears his name, but awes medical learners at all stages of their careers. Merendino and colleagues collected seven such cases of the ‘Murmur on Top of the Head’ building on the work of others who provided a detailed description of mitral regurgitation and noted murmur radiation to the neck and cervical/lumbosacral spine. The majority of patients suffered from rheumatic heart disease or subacute bacterial endocarditis in native heart valves. Here, we report on a case of the ‘Murmur on Top of the Head’ and provide the reader/listener with a direct recording of the ‘Merendino murmur’ (as well as its spinal correlate) in an elderly woman with a bioprosthetic mitral valve.

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