DVR : An X-ray & some thoughts

AVR plus MVR commonly refered to as DVR is a path breaking cardiac surgery in patients with combined valvular heart disease. Still, it carries considerable mortabidity, if not done with high degree of expetise and standards . Apart from technical perfection, an inherent issue exist that might affect long term Impact. Here is lateral view of X – ray chest showing a DVR. Image courtesey https://web.stanford.edu/dept/radiology/radiologysite/site141.html High resolution jpeg Image Note :The green ring denotes the mandatory gap to avoid metal clash (But a missing link) in the Aorto mitral continuity Final message What will happen to the native anatomical and physiological functional unit of Aorto -mitral continuty after a DV ?. Will LV inflow encroach the LV outflow or vice versa ? These questions are less often asked . In the process we often ignore a concept called Aortic- mitral coupling or inter-dependence. Reference 1.David et all AORTIC AND MITRAL VALVE REPLACEMENT WITH RECONSTRUCTION OF THEINTERVALVULAR FIBROUS BODY J Thorac Cardiovasc Surg 1997;114:766-72 2.Marc Ruel, Varun Kapila, Joel Price, Natural History and Predictors of Outcome in Patients With Concomitant Functional Mitral Regurgitation at the Time of Aortic Valve Replacement Circulation. 2006;114:I-541–I-546
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized Source Type: blogs