Filter by keywords:



Filtering documents. Please wait...

1/416. mitral valve repair for anterior leaflet papillary fibroelastoma: two case descriptions and a literature review.

    Cardiac papillary fibroelastomas are rare cardiac tumors and have been considered a 'benign' incidental finding that may have significant clinical manifestations. In this paper we report two cases of mitral valve fibroelastoma: one was discovered by chance with transthoracic echocardiography in a young healthy man, the other was an intraoperative incidental finding in a middle aged man with a recent history of acute myocardial infarction. The mitral valve was repaired in both cases after excising the tumor. The patients did well and remain asymptomatic. A literature review was compiled which comprises previous case reports of 34 patients with mitral valve papillary fibroelastomas. Most were asymptomatic, but when symptoms occurred, they could be disabling, such as stroke, cardiac heart failure, myocardial infarction, and sudden death. Papillary fibroelastoma is amenable to simple surgical excision or in addition to mitral valve repair or replacement. recurrence has not been reported.
- - - - - - - - - -
ranking = 1
keywords = replacement
(Clic here for more details about this article)

2/416. mitral valve homograft for mitral valve replacement in acute bacterial endocarditis.

    Homograft use for aortic valve replacement (AVR) in aortic valve acute bacterial endocarditis (ABE) has gained in popularity, due mainly to the relative resistance of homografts to infection. Recent success with mitral valve homograft use led us to apply homograft mitral valve replacement (MVR) in a patient with severe ABE that was not amenable to valve repair. Following surgery, the patient improved rapidly with normalization of infection parameters and chest radiography, and was discharged home on postoperative day 11. Follow up echocardiography showed good function of the homograft mitral valve with no regurgitation. After four months, the patient had normal valve function, with no evidence of infection. In conclusion, MVR with a mitral valve homograft in the setting of ABE was satisfactory, though patient follow up was relatively short (four months).
- - - - - - - - - -
ranking = 6
keywords = replacement
(Clic here for more details about this article)

3/416. Double valve repair and maze procedure for degenerative valvular disease and chronic atrial fibrillation.

    A 61-year-old male with degenerative aortic valve regurgitation, mitral valve regurgitation and chronic atrial fibrillation underwent a combined reparative procedure consisting of aortic valve repair, mitral valve repair and maze procedure. Surgery was successful and postoperatively the patient is in NYHA class I, without anticoagulation. To the best of our knowledge, this is the first clinical report of this combined reparative surgery. As advances are made in valve repair surgery, it is expected that similar combined procedures will be performed more frequently in future. The benefits of avoiding valve replacement and anticoagulation after such combination treatment is discussed.
- - - - - - - - - -
ranking = 1
keywords = replacement
(Clic here for more details about this article)

4/416. Expeditious diagnosis of primary prosthetic valve failure.

    Primary prosthetic valve failure is a catastrophic complication of prosthetic valves. Expeditious diagnosis of this complication is crucial because survival time is minutes to hours after valvular dysfunction. The only life-saving therapy for primary prosthetic valve failure is immediate surgical intervention for valve replacement. Because primary prosthetic valve failure rarely occurs, most physicians do not have experience with such patients and appropriate diagnosis and management may be delayed. A case is presented of a patient with primary prosthetic valve failure. This case illustrates how rapidly such a patient can deteriorate. This report discusses how recognition of key findings on history, physical examination, and plain chest radiography can lead to a rapid diagnosis.
- - - - - - - - - -
ranking = 1
keywords = replacement
(Clic here for more details about this article)

5/416. myocardial infarction caused by compression of anomalous circumflex coronary artery after mitral valve replacement.

    We report a case of myocardial infarction after mitral valve replacement occurring in a patient with the left cyrcumflex coronary artery arising from the right one. The patient underwent mitral valve replacement with a size 27 Carbomedics prosthesis and a tricuspidal annuloplasty was performed according to the De Vega technique. Patient died on the 20th postoperative day.
- - - - - - - - - -
ranking = 6
keywords = replacement
(Clic here for more details about this article)

6/416. mitral valve replacement through a giant left atrial appendage.

    We report a rare case of a 45-year-old male with a giant left atrial appendage (13x10 cm in size) and chronic massive regurgitation at the mitral valve. Massive dilatation was compressing most of the left lower lobe and the large size of the appendage was pushing the mediastinum to the right. Therefore under median sternotomy, the mitral valve was clearly accessible and chordal sparing mitral valve replacement with left atrial plication was successfully performed through the giant left atrial appendage.
- - - - - - - - - -
ranking = 5
keywords = replacement
(Clic here for more details about this article)

7/416. Stuck valve leaflet detected by intraoperative transesophageal echocardiography.

    We encountered a rare complication of mitral valve replacement with the CarboMedics prosthesis: a "stuck" leaflet detected by transesophageal echocardiography even though weaning from cardiopulmonary bypass had been uneventful. The patient was immediately managed without significant problems. We emphasize the importance of performing routine intraoperative transesophageal echocardiography in valve replacement as well as in valve repair, from the initial phase of operation.
- - - - - - - - - -
ranking = 2
keywords = replacement
(Clic here for more details about this article)

8/416. A crusty cause of prosthetic valve endocarditis.

    A 73-year-old man with two previous mitral valve replacements presented with prosthetic valve infective endocarditis. Ten days before hospitalization he had undergone minimally invasive cutaneous surgery for crusty lesions but had not received antibiotic prophylaxis. The current literature regarding the role of antibiotic prophylaxis in dermatological procedures is discussed along with the issues surrounding this patient.
- - - - - - - - - -
ranking = 1
keywords = replacement
(Clic here for more details about this article)

9/416. Valve replacement for appetite suppressant-induced valvular heart disease.

    Valvular heart disease associated with the use of appetite-suppressant medication is a recently described clinical entity. Although the mechanism of valvular injury remains elusive pathologically, the valvular abnormalities resemble those observed in carcinoid syndrome. The incidence of clinically evident valvular heart disease is low with short-term (less than 3 months) exposure to appetite-suppressant drugs. Prolonged exposure to higher doses in addition to combination drug therapy confers an excess risk for valvular pathologic changes. We report the case of a patient with severe mitral regurgitation who had short-term exposure (3 weeks) to the combination of fenfluramine (20 mg) and phenteramine (15 mg).
- - - - - - - - - -
ranking = 4
keywords = replacement
(Clic here for more details about this article)

10/416. Asymptomatic left ventricular outflow tract obstruction after mitral valve replacement with leaflet preservation.

    It has been shown that inappropriate anterior mitral leaflet preservation during mitral valve replacement may cause left ventricular outflow tract (LVOT) obstruction, usually with dismal prognosis. In this report, we describe a patient with chronic asymptomatic LVOT obstruction after mitral valve replacement with leaflet preservation.
- - - - - - - - - -
ranking = 6
keywords = replacement
(Clic here for more details about this article)
| Next ->


Leave a message about 'Mitral Valve Insufficiency'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.