scholarly journals Small Cavity of Left Ventricle Does Not Affect Short-term Outcome in Patients with Rheumatic Mitral Valve Stenosis Undergoing Mitral Valve Replacement

2021 ◽  
Vol 24 (1) ◽  
pp. E031-E037
Author(s):  
Junnan Zheng ◽  
Tingting Tao ◽  
Yiming Ni ◽  
Liang Ma ◽  
Haige Zhao
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Logistic Regression Analysis ◽  
Mitral Valve Stenosis ◽  
Short Term ◽  
Small Cavity

Background: Small cavity left ventricle (SCLV) may affect the clinical outcomes of patients undergoing mitral valve replacement (MVR). This study aims to investigate the incidence of SCLV in patients with rheumatic mitral valve stenosis undergoing MVR and analyze its effect on short-term patient outcomes. Methods: We retrospectively examined all consecutive patients with isolated or concomitant MVR for rheumatic mitral valve stenosis in our center from 2013 to 2018. SCLV was defined as end-diastolic volume index ≤ 50 ml/m2. After inclusion and exclusion, a total of 1,437 patients were analyzed. The baseline information was collected and compared between SCLV and non-SCLV patients. Multivariate logistic regression analysis was conducted to determine the effect of SCLV on early mortality. Results: A total of 1,437 patients were included in the study. SCLV was detected in 13.57% of the patients. Compared with the non-SCLV group, patients with SCLV were smaller-sized and primarily female. There were no significant differences between SCLV and non-SCLV patients regarding major postoperative complications, nor were there incidence of prosthesis-patient mismatch. Logistic regression analysis showed that SCLV was not a risk factor for short-term mortality (P = 0.998). Conclusions: Our results demonstrated that SCLV was not associated with poorer early outcomes after MVR surgery in patients with rheumatic mitral valve stenosis.

scholarly journals A Case of Simultaneous Liver Transplantation and Mitral Valve Replacement in a HCV Cirrhotic Patient with Severe Mitral Valve Stenosis

2020 ◽  
pp. 1-3
Author(s):  
Andrea De Gasperi ◽  
Andrea De Gasperi ◽  
Elena Roselli ◽  
Marcello Guarnieri
Keyword(s):  
Liver Transplantation ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Graft Function ◽  
Chronic Atrial Fibrillation ◽  
Mitral Valve Stenosis ◽  
Combined Surgery ◽  
Short Term ◽  
Hemodynamic Support

We report a case ofsimultaneous liver transplantation and mitral valve replacement in a 53 years old woman suffering for a severe HCV - related liver cirrhosis (CHILD C12, MELD 26), severe mitral stenosis and chronic atrial fibrillation. Cardiac surgery was performed on cardiopulmonary bypass with full heparinization and cardiac arrest and preceded liver transplantation. The patient was weaned on postoperative day 2 from mechanical ventilation and on postoperative day 5 from hemodynamic support and renal replacement therapy. She was transferred to the ward on POD 12. On POD 20 she was readmitted to ICU for acute kidney failure, worsening graft function, sepsis and the suspicion of acute rejection. On POD 56 after a long intensive treatment, the patient eventually died from an intracranial hemorrhage. This complex combined surgery carries a high burden of morbidity and mortality but showed a good result in the short term.

scholarly journals Lesion of Aggregated Monocytes and Mesothelial Cells: Mesothelial/Monocytic Incidental Cardiac Lesion

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Hilal Erinanç ◽  
Murat Günday ◽  
Tonguç Saba ◽  
Mehmet Özülkü ◽  
Atilla Sezgin
Keyword(s):  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Histopathological Examination ◽  
Mesothelial Cells ◽  
Mitral Valve Stenosis ◽  
Pathology Laboratory ◽  
Cardiac Lesion ◽  
Replacement Surgery

A 58-year-old woman with a history of childhood acute rheumatic fever and resultant mitral valve stenosis was admitted to our cardiovascular surgery clinic complaining of tachycardia, dyspnea, and chest pain. After clinical and radiological findings were evaluated, mitral valve replacement, tricuspid De Vega annuloplasty and plication, and resection of giant left atrium were performed. Atrial thrombus was removed from the top of the left atrial wall. Operation material considered as thrombus was sent to a pathology laboratory for histopathological examination. It was diagnosed with mesothelial/monocytic incidental cardiac lesion (cardiac MICE). Microscopic sections revealed that morphological features of the lesion were different from thrombus. The lesion was composed of a cluster of histiocytoid cells with abundant cytoplasm and oval shaped nuclei and epithelial-like cells resembling mesothelial cells within a fibrin network. Epithelial-like cells formed a papillary configuration in the focal areas. Mitotic figures were absent. Here we present a case which was incidentally found in a patient who underwent mitral valve replacement surgery, as a thrombotic lesion on the left atrium wall.

A Left Ventricle to Left Atrial Appendage Fistula After Mitral Valve Replacement

2018 ◽  
Vol 10 (5) ◽  
pp. 121-123
Author(s):  
Yafen Liang ◽  
Bantayehu Sileshi ◽  
Clayton A. Kaiser ◽  
Mias Pretorius ◽  
Andrew D. Shaw
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage

scholarly journals Mitral Valve Replacement and Remodeling of the Left Ventricle in Dilated Cardiomyopathy with Mitral Regurgitation: Initial Results

2002 ◽  
Vol 78 (2) ◽  
Author(s):  
Luiz Boro Puig ◽  
Fábio Antonio Gaiotto ◽  
José de Lima Oliveira Júnior ◽  
Mirian Magalhães Pardi ◽  
Fernando Bacal ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Mitral Regurgitation ◽  
Dilated Cardiomyopathy ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Initial Results

scholarly journals Mitral valve replacement for an annular submitral aneurysm of the left ventricle.

Thorax ◽  
1993 ◽  
Vol 48 (6) ◽  
pp. 676-677 ◽  
Author(s):  
A G Gokhale ◽  
N Lal ◽  
B Ashok ◽  
J Jacob ◽  
S Krishnaswami ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement
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