Intraoperative Transesophageal Echocardiography for Surgical Repair of Degenerative Mitral Regurgitation.

Intraoperative Transesophageal Echocardiography for Surgical Repair of Degenerative Mitral Regurgitation. J Heart Valve Dis. 2017 Sep;26(5):547-556 Authors: Pisano C, Calia C, Ricasoli A, Fabio Triolo O, Argano V Abstract BACKGROUND: Segmental analysis of diseased mitral valves is important to predict a successful surgical valve repair. An assessment was made of the comparative accuracy of intraoperative three-dimensional (3D) and two-dimensional (2D) transesophageal echocardiography (TEE) in the evaluation of mitral valve lesions when compared with intraoperative surgical segmental analysis. METHODS: A total of 42 consecutive patients (12 females, 30 males; mean age 70.5 ± 14 years) with severe mitral valve regurgitation due to degenerative disease and who underwent mitral valve repair was enrolled in the study. Complete 2D- and 3D-TEE were performed before surgery. The findings obtained using the different echocardiographic techniques were compared with intraoperative segmental analysis performed by a single operator who was blinded to the 2D- and 3D-TEE findings until the end of the inspection. The sensitivity and specificity of echocardiographic evaluations of involved scallops were compared with surgical inspection. RESULTS: 3D-TEE allowed an accurate identification of all mitral lesions. Thirty-three patients had simple lesions at 3D-TEE and underwent a simple surgical procedure, while nine patients had complex lesions; in these latte...
Source: Journal of Heart Valve Disease - Category: Cardiology Tags: J Heart Valve Dis Source Type: research

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In this issue of Seminars, Jimenez and colleagues1 present their outcomes and repair rates for mitral valve (MV) operations following implementation of a dedicated multidisciplinary heart valve team at a low mitral volume Veterans Administration (VA) hospital. In this retrospective review of 103 consecutive mitral operations performed upon initiation of their heart valve team in 2009, through to 2016, MV repair rates increased to 67% compared to 21% from the previous 8-year period. In this recent era, repair rates for degenerative disease were 86.5% (64/74) with mild or less residual mitral regurgitation (MR) in longitudin...
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Editorial Commentary Source Type: research
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