scholarly journals Papillary Muscle Head Approximation for the Treatment of Mitral Valve Regurgitation Combined With Aortic Valve Disease

2010 ◽  
Vol 51 (1) ◽  
pp. 47-50
Author(s):  
Susumu Ishikawa ◽  
Satoshi Kugawa ◽  
Keiko Abe ◽  
Kazuo Neya ◽  
Hiroyuki Shirato ◽  
...  
2011 ◽  
Vol 96 (2) ◽  
pp. 182-187 ◽  
Author(s):  
Susumu Ishikawa ◽  
Keisuke Ueda ◽  
Kazuo Neya ◽  
Akio Kawasaki ◽  
Akihito Kakinuma ◽  
...  

Abstract We evaluated the availability of original “sandwich plasty” for the treatment of functional mitral regurgitation (FMR) associated with ischemic heart disease (IHD) and aortic valve disease (AVD). Forty-three patients were reviewed, including 27 IHD patients and 16 AVD patients. Preoperatively severe FMR was detected in 14 patients, moderate FMR in 26, and mild FMR in 3. The papillary muscle heads of anterior leaflets and posterior leaflets were approximated using Teflon-pledgeted 3-0 Ticron sutures at anterolateral and posteromedial commissural portions. After surgery, residual moderate FMR was observed in 1 patient and mild FMR in 3 patients. Tenting height of the mitral valve significantly decreased. FMR free rates 2 years after surgery were 93% among IHD patients and 83% in AVD patients. “Sandwich plasty” was simple and effective for the treatment of functional FMR caused by tethering effects due to left ventricular dilatation.


2020 ◽  
Vol 110 (1) ◽  
pp. e59-e61
Author(s):  
Masatoshi Hata ◽  
Buntaro Fujita ◽  
Kavous Hakim-Meibodi ◽  
Jan F. Gummert

2017 ◽  
Vol 61 (3) ◽  
pp. 363-366
Author(s):  
Magdalena Garncarz ◽  
Marta Parzeniecka-Jaworska ◽  
Magdalena Hulanicka ◽  
Michał Jank ◽  
Olga Szaluś-Jordanow ◽  
...  

Abstract Introduction: Older small breed dogs are considered at risk for heart failure secondary to chronic mitral valve disease. However, few data are available on the onset of this disease in such dogs. This study was performed to determine if auscultation alone can be used to eliminate clinically relevant mitral valve regurgitation seen in echocardiography in Dachshund dogs. Material and Methods: Clinical and echocardiographic data were obtained from 107 dogs without heart murmurs. Results: The study revealed that 63.6% of the dogs had mitral regurgitation. Numbers increased with age and a larger percentage of male Dachshunds were affected than female Dachshunds. Mitral valve prolapse and thickening were mild, and the regurgitant area inextensive in most dogs. Conclusions: The study shows that mitral valve regurgitation is prevalent (63.6%) in Dachshunds without heart murmurs. Typical lesions often become apparent during echocardiographic examinations in dogs under 5 years of age.


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