Download Atlas of Mitral Valve Repair by Edward B. Savage MD, Steven F. Bolling MD PDF

By Edward B. Savage MD, Steven F. Bolling MD

This full-color atlas with accompanying video DVD presents an entire and functional "how-to" consultant to making plans and acting mitral valve fix surgical procedure for mitral regurgitation. The publication studies the typical heritage of mitral regurgitation, the sensible anatomy of the mitral valve, and using echocardiography in preoperative overview and surgical making plans. Chapters describe and illustrate all ideas at present used for mitral valve fix and speak about results.

A bound-in DVD offers narrated videos of six instances that express the appliance of particular ideas. each one case starts off with preoperative echocardiograms demonstrating the mitral valve disorder and proceeds via key surgical maneuvers.

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Extra resources for Atlas of Mitral Valve Repair

Example text

Once the heart is arrested and the atrium is opened, inspection of the atrium and valvular structures will determine the necessary components of the repair. Adequate visualization of the valve is important. The mitral valve can be approached via transseptal or right lateral approaches. Visualization via the lateral approach is facilitated by dissection of the intraatrial groove. Jet lesions in the atrium can direct attention to the site of abnormality. Hooks allow examination of the leaflets and subvalvular apparatus for mobility and integrity.

The prolapsing portion of the leaflet is excised as a quadrangle to the annular level. The incision should be made in hardy tissue that will hold sutures well. The leaflets are then reapproximated with a running suture between the leaflet edges continuing to fold together the annular cut edges. The atrial portion can be reinforced with a pledgeted suture (Fig. 5). Suturing is started at the leaflet edge with a simple suture tied on the ventricular side of the valve that is brought through to the atrial side to pull the edge under (Fig.

Unger-Graeber B, Lee RT, Sutton MS, et al. Doppler echocardiographic comparison of the Carpentier and Duran annuloplasty rings versus no ring after mitral valve repair for mitral regurgitation. Am J Cardiol. 1991;67:517–519. Detter C, Aybek T, Kupilik N, Fischlein T, Moritz A. Mitral valve annuloplasty: comparison of the mural annulus shortening suture (MASS) with the Carpentier-Edwards prosthetic ring. J Heart Valve Dis. 2000;9:478–486. Grossi EA, Bizekis CS, LaPietra A, et al. Late results of isolated mitral annuloplasty for “functional” ischemic mitral insufficiency.

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