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Author(s): Michele De Bonis , Ottavio Alfieri Added: 3 years ago
Degenerative mitral regurgitation (MR) represents a rather common pathology, affecting 1–2% of the general population. In patients requiring surgery for this disease, mitral valve repair is the standard of care. Whenever feasible it is preferable to prosthetic replacement, as it provides better preservation of left ventricular (LV) function, higher survival, lower rates of thromboembolism and… View more

Vascular Disease and Surgery

Intervention
Author(s): Otto Kamp , Gabriel Valocik Added: 3 years ago
Background Echocardiography has evolved into the most predominant diagnostic imaging technique in cardiology. Over the last five decades the diagnostic capability of echocardiography has increased dramatically from M-mode to two-dimensional (2-D) imaging. Recent advances in ultrasound instrumentation and computer technology have led to three-dimensional (3-D) echocardiography, introducing a new… View more

Imaging & Diagnostics

Intervention
PCR e-Course 2020: Mitral valve leaflet adverse events with MitraClip
Author(s): Federico M Asch Added: 3 years ago
Dr Federico M Asch (MedStar Health Research Institute, Georgetown University, Washington DC, WA, US) discusses the latest findings from the Global EXPAND Study. Their research looked into mitral valve leaflet events with MitraClip (NTR/XTR). Questions: 1. Can you briefly remind us what the EXPAND registry is and what it assesses? 2. What research have you conducted on leaflet adverse… View more

Vascular Disease and Surgery

Imaging & Diagnostics
Author(s): Michael Hoebartner , Philipp Kiefer , Michael Andrew Borger , et al Added: 3 years ago
Mitral valve regurgitation (MR) is frequently induced by degenerative mitral valve (MV) disease and leads to leaflet prolapse. Therefore, valve repair is a well-proven surgical technique with excellent long-term outcomes.1–5 The risk of declining left ventricle (LV) function or LV enlargement and the development of atrial fibrillation or severe pulmonary hypertension due to chronic volume… View more

Intervention

Vascular Disease and Surgery
Author(s): Martin Swaans , Ben van den Branden , Marco Post , et al Added: 3 years ago
In Europe, mitral regurgitation (MR) is the second most common form of valvular heart disease needing surgery.1 Studies have shown that up to 50 % of patients with severe symptomatic MR are not referred to surgery, even if a surgical indication exists.1–3 Reasons for denying surgery include impaired left ventricular ejection fraction, a high operative risk, multiple comorbidities or advanced age… View more

Vascular Disease and Surgery

Imaging & Diagnostics
Author(s): Jose Luis Zamorano , Leopoldo Pérez Added: 3 years ago
Mitral valve disease is a common disease that requires an accurate evaluation in order to decide when and how the problem should be treated. Realtime three-dimensional echocardiography (RT3-D) is a new technique that allows us to visualise the mitral valvular anatomy in any desired space orientation. This review will focus on two specific subject areas in which our research team has been working:… View more

Imaging & Diagnostics

Intervention
AHA 2021: Evaluating the Benefit of Concomitant TV Repair During Mitral Valve Surgery
Author(s): James Gammie Added: 2 years ago
In this short interview, Dr James Gammie (University of Maryland Medical Center, MD, US) discusses the findings from surgical trial assessing the benefit of concomitant tricuspid repair during mitral valve surgery. The trial, presented at AHA 2021, demonstrated that at 2 years, TA had no impact on MACCE, survival, or QOL. Discussion Points 1. Reasoning for this Study 2. Study Design and… View more

Vascular Disease and Surgery

Intervention
Author(s): Bushra S Rana , Justin Lee , Petros Nihoyannopoulos Added: 3 years ago
There has been a considerable evolution in technology since the initial description of 3D echocardiography several decades ago.1 The first generation of 3D probes performed gated acquisition with static rendering of images, but not in realtime. The second generation did to an extent allow realtime imaging, but the relatively low density of active elements (approximately 300) resulted in a low… View more

Vascular Disease and Surgery

Imaging & Diagnostics
Author(s): Ottavio Alfieri , Michele De Bonis Added: 3 years ago
Despite the absence of randomised comparison, it is widely accepted that, when feasible, valve repair is the optimal surgical treatment in patients with severe degenerative mitral regurgitation (MR) due to the well documented advantages of such an approach over valve replacement in terms of perioperative mortality, preservation of postoperative left ventricular (LV) function and long-term… View more

Vascular Disease and Surgery

MI/ACS
Author(s): Astrid Apor , Anikó Nagy , Andrea Nagy , et al Added: 3 years ago
Abstract Mitral regurgitation (MR) is the most commonly found valvular lesion in echocardiography laboratories. Moderate and severe mitral regurgitation have proven to be associated with increased morbidity and mortality, and surgical reconstruction is recommended in severe cases whenever feasible. Three-dimensional echocardiography (3DE) is superior to conventional echocardiography in the… View more

Vascular Disease and Surgery

Imaging & Diagnostics