scholarly journals 3 Mitral valve disease with severe pulmonary hypertension

1990 ◽  
Vol 20 (1) ◽  
pp. 68-69
Author(s):  
Y. Sugiyama
Keyword(s):  
Pulmonary Hypertension ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Valve Disease ◽  
Severe Pulmonary Hypertension

Use of Prostaglandin E1 to Treat Peri-Anaesthetic Pulmonary Hypertension Associated with Mitral Valve Disease

1993 ◽  
Vol 21 (3) ◽  
pp. 161-164 ◽  
Author(s):  
K Mikawa ◽  
N Maekawa ◽  
R Goto ◽  
H Yaku ◽  
K Nishina ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Mitral Valve ◽  
Glyceryl Trinitrate ◽  
Mitral Valve Disease ◽  
Prostaglandin E1 ◽  
Valve Disease ◽  
Prostaglandin E ◽  
Severe Pulmonary Hypertension ◽  
Critical Problem ◽  
Ventricular Afterload

Severe pulmonary hypertension (PH) can be a critical problem during and after cardiac surgery, since it increases right ventricular afterload resulting in decreased cardiac output. A case of pulmonary hypertension associated with mitral valve disease and resistant to glyceryl trinitrate therapy during surgery is reported. The case was treated successfully with prostaglandin E1 (PGE1), indicating that PGE1 can be used peri-operatively in a patient with refractory PH resistant to glyceryl trinitrate treatment.

scholarly journals Dynamics of echocardiography parameters after circular PADN procedure in patients with mitral valve defects, atrial fibrillation, and high pulmonary hypertension

2019 ◽  
Vol 34 (3) ◽  
pp. 129-143
Author(s):  
N. A. Trofimov ◽  
A. P. Medvedev ◽  
V. E. Babokin ◽  
A. G. Dragunov ◽  
V. A. Kichigin ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Hypertension ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Pulmonary Arteries ◽  
Surgical Correction ◽  
Valve Disease ◽  
Severe Pulmonary Hypertension ◽  
Radiofrequency Denervation

Aim. To analyze the dynamics of echocardiographic parameters after surgical treatment of severe pulmonary hypertension in patients with mitral valve disease and atrial fibrillation.Material and Methods. Data of surgical treatment in 202 patients with mitral valve disease complicated by severe pulmonary hypertension with blood pressure more than 40 mm Hg and atrial fibrillation were analyzed. Surgical intervention in these patients consisted in surgical correction of mitral dysfunction with artificial prosthetic valve or valve-preserving intervention (group 1, n = 62). In patients of group 2 (n = 89), correction of mitral valve defect was also performed as well as the Maze IV procedure for concomitant atrial fibrillation using bipolar radiofrequency ablator AtriCure. Patients of group 3 (n = 51) underwent integrated surgery, which consisted in the elimination of mitral valve defect, surgical correction of atrial fibrillation by Maze IV procedure, as well as circular radiofrequency denervation of the trunk and mouth of the pulmonary arteries (pulmonary artery denervation (PADN)).Conclusions. The circular PADN procedure was effective and safe, significantly reduced the level of pulmonary hypertension in the postoperative period (p = 0.018), and promoted reverse remodeling of the heart cavities. Integrated surgical correction in patients with mitral dysfunction, atrial fibrillation, and severe pulmonary hypertension may significantly reduce the phenomenon of heart failure (p = 0.023). Further analysis of the effectiveness of radiofrequency denervation of pulmonary arteries with the study of a larger number of patients, analysis of long-term results, as well as determining the possibility of this technique in patients with non-valvular forms of pulmonary hypertension are required. 

PADN procedure in patients with mitral valve disease, atrial fibrillation and high pulmonary hypertension

2019 ◽  
Vol 12 (5) ◽  
pp. 450
Author(s):  
N. A. Trofimov ◽  
A. P. Medvedev ◽  
V. E. Babokin ◽  
A. G. Dragunov ◽  
I. P. Efimova ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Hypertension ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Valve Disease

Prognostic Value of Pulmonary Hypertension in Patients Undergoing Surgery for Degenerative Mitral Valve Disease with Leaflet Prolapse

2012 ◽  
Vol 27 (6) ◽  
pp. 668-675 ◽  
Author(s):  
Shahab Nozohoor ◽  
Snejana Hyllén ◽  
Carl Meurling ◽  
Per Wierup ◽  
Johan Sjögren
Keyword(s):  
Pulmonary Hypertension ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Prognostic Value ◽  
Valve Disease ◽  
Leaflet Prolapse

scholarly journals Pulmonary Hypertension in Aortic and Mitral Valve Disease

2018 ◽  
Vol 5 ◽  
Author(s):  
Micha T. Maeder ◽  
Lukas Weber ◽  
Marc Buser ◽  
Marc Gerhard ◽  
Philipp K. Haager ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Valve Disease
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