By Thomas A. Barker, Ian C. Wilson (auth.), Robert S. Bonser, Domenico Pagano, Axel Haverich (eds.)
An appreciation of atrioventricular valve surgical anatomy unearths that they're even more than uncomplicated valves, beginning and shutting in keeping with strain alterations. The structural interrelationship of the valves of the guts and the dynamic mechanisms fascinated with their functionality are primary in optimizing valve functionality, and are based upon an tricky multifaceted imperative cardiac complicated. Mitral Valve surgical procedure offers a close heritage of the mitral valve, its pathology, assessment, fix and substitute from quite a number specialists within the box, delivering a close reference for clinicians in cardiology, cardiac surgical procedure, interventional cardiology, and similar fields. The Editors have designed the ebook to be a finished and systematic overview together with present useful details and tips. As we glance to the long run, mitral valve surgical procedure will proceed to conform and trying to maximize sufferer final result such damage becomes more and more very important. This e-book presents the elemental history info to gasoline curiosity, start up novel prevention, refine surgical and healing options, and tell the investigator tips to improve and layout their learn study.
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Additional info for Mitral Valve Surgery
Wide splitting of S2 is common and results from the shortening of LV ejection and an earlier A2 as a consequence of reduced resistance to LV ejection. In patients with severe pulmonary hypertension (PHT), P2 is louder than A2. The abnormal increase in the flow rate across the mitral orifice during the rapid filling phase is often associated with an S3. Laboratory Investigations Electrocardiography The electrocardiographic features associated with chronic MR are LA enlargement (P wave > 120 ms in lead II with a negative component in V1 > 40 ms), AF, and LV hypertrophy (increased QRS amplitude, ST-T wave abnormalities).
Braunwald E, Awe WC. The syndrome of severe mitral regurgitation with normal left atrial pressure. Circulation. 1963;27:29-35. Cohn LH, Couper GS, Kinchla NM, Collins JJ Jr. Decreased operative risk of surgical treatment of mitral regurgitation with or without coronary artery disease. J Am Coll Cardiol. 1990;16:1575-1578. Aoyagi S, Oryoji A, Nishi Y, et al. Long-term results of valve replacement with the St Jude Medical valve. J Thorac Cardiovasc Surg. 1994;108:1021-1029. Fiore AC, Barner HB, Swartz MT, et al.
J Heart Valve Dis. 2002;11:337-345. Goetz WA, Lim HS, Lansac E, et al. Anterior mitral basal ‘stay’ chords are essential for left ventricular geometry and function. J Heart Valve Dis. 2005;14:195-202. discussion 202–203. Athanasiou T, Chow A, Rao C, et al. Preservation of the mitral valve apparatus: evidence synthesis and critical reappraisal of surgical techniques. Eur J Cardiothorac Surg. 2008;33:391-401. Epub 2008 Jan 14. Rodriguez F, Langer F, Harrington KB, et al. Importance of mitral valve second-order chordae for left ventricular geometry, wall thickening mechanics, and global systolic function.