Anatomy, mechanics, and pathophysiology of the mitral annulus

JJ Silbiger - American heart journal, 2012 - Elsevier
The mitral annulus plays an important role in leaflet coaptation, in unloading mitral valve
closing forces, and in promoting left atrial and left ventricular filling and emptying …

Evolving concepts and technologies in mitral valve repair

PWM Fedak, PM McCarthy, RO Bonow - Circulation, 2008 - Am Heart Assoc
In the process of repairing the mitral valve complex or approaching it percutaneously, one
must consider the anatomy of the numerous adjacent structures to avoid injury and …

[HTML][HTML] Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation

EC McGee Jr, AM Gillinov, EH Blackstone… - The Journal of thoracic …, 2004 - Elsevier
OBJECTIVES: We sought to characterize the temporal return of mitral regurgitation after
annuloplasty for functional ischemic mitral regurgitation; to identify its predictors, particularly …

Mitral leaflet adaptation to ventricular remodeling: occurrence and adequacy in patients with functional mitral regurgitation

M Chaput, MD Handschumacher, F Tournoux, L Hua… - Circulation, 2008 - Am Heart Assoc
Background—Functional mitral regurgitation (MR) is caused by systolic traction on the mitral
leaflets related to ventricular distortion. Little is known about whether chronic tethering …

Edge-to-edge (Alfieri) mitral repair: results in diverse clinical settings

SK Bhudia, PM McCarthy, NG Smedira, BK Lam… - The Annals of thoracic …, 2004 - Elsevier
BACKGROUND: Complex mitral regurgitation (MR) jets can make repair challenging; edge-
to-edge (Alfieri) repair augments the repertoire of repair techniques. Objectives of this study …

RING+ STRING: Successful repair technique for ischemic mitral regurgitation with severe leaflet tethering

F Langer, T Kunihara, K Hell, R Schramm, KI Schmidt… - Circulation, 2009 - Am Heart Assoc
Background—Residual/recurrent mitral valve regurgitation is observed in 30% after
undersized ring annuloplasty (RING) for ischemic mitral regurgitation (IMR). RING …

Survival prognosis and surgical management of ischemic mitral regurgitation

CA Milano, MA Daneshmand, JS Rankin… - The Annals of thoracic …, 2008 - Elsevier
BACKGROUND: Ischemic mitral regurgitation (IMR) has an adverse prognosis, but survival
characteristics and management are controversial. This study reviewed a 20-year series of …

Late aortic insufficiency related to poor prognosis during left ventricular assist device support

K Toda, T Fujita, K Domae, Y Shimahara… - The Annals of thoracic …, 2011 - Elsevier
BACKGROUND: Management of native aortic insufficiency (AI) during left ventricular assist
device (LVAD) support is challenging. We investigated the occurrence of de novo AI during …

Echocardiographic predictors of successful versus unsuccessful mitral valve repair in ischemic mitral regurgitation

V Kongsaerepong, M Shiota, AM Gillinov… - The American journal of …, 2006 - Elsevier
Mitral valve (MV) annuloplasty is the standard surgical technique for the management of
ischemic mitral regurgitation (MR). However,≤ 1/3 of patients develop recurrent MR after …

Flexible versus nonflexible mitral valve rings for congestive heart failure: differential durability of repair

MT Spoor, A Geltz, SF Bolling - Circulation, 2006 - Am Heart Assoc
Background—Surgical intervention is playing an increasingly important therapeutic role in
congestive heart failure (CHF) patients with ischemia and dilated cardiomyopathy. Their …