Role of Mitral Valve Repair for Mitral Infective Endocarditis
This article reviews the history, details of the relevant repair techniques, and clinical results of MVrep for mitral IE. (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Yukikatsu Okada, Takeo Nakai, Takeshi Kitai Source Type: research
Multimodality Imaging for the Assessment of Mitral Valve Disease
Mitral valve disease is the most common valvular heart disease. Imaging determines the etiology (anatomic assessment), valve function and severity of valvular heart disease (hemodynamic assessment), remodeling of the left ventricle and right ventricle, and preplanning and guidance of percutaneous intervention. Although roles of computed tomography and magnetic resonance are increasing, echocardiography serves as the first-line imaging modality for the diagnosis and serial follow-up in most cases. This review summarizes the roles of multimodality imaging currently available from research fields to daily clinical practice. (...
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Dae-Hee Kim Source Type: research
Revisiting the Role of Guideline-Directed Medical Therapy for Patients with Heart Failure and Severe Functional Mitral Regurgitation
Patients with heart failure often have mitral regurgitation, which can generate a vicious cycle. Medical therapy remains the cornerstone of their treatment in this setting. This review revisits the role of medical therapy and its optimization for severe functional mitral regurgitation in the contemporary era. (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Shun Kohsaka, Mike Saji, Satoshi Shoji, Keisuke Matsuo, Shintaro Nakano, Yuji Nagatomo, Takashi Kohno Source Type: research
Periprocedural Echocardiographic Guidance of Transcatheter Mitral Valve Edge-to-Edge Repair Using the MitraClip
Transcatheter edge-to-edge mitral valve repair is a minimally invasive treatment option for selected patients with moderate to severe or severe mitral regurgitation. Although transcatheter edge-to-edge mitral valve repair offers a significant step forward in the management of mitral regurgitation, the rate of procedural-related complications is not trivial. High-quality periprocedural imaging is important for optimal patient selection and procedural success. In this review, we present a step-by-step approach of the recommended echocardiographic views for transcatheter edge-to-edge mitral valve repair. (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Jay Ramchand, Rhonda Miyasaka Source Type: research
Mitral Annular Disjunction —A New Disease Spectrum
Mitral annular disjunction is a structural abnormality of the mitral annulus fibrosus, which has been described by pathologists to be associated with mitral leaflet prolapse. Mitral annular disjunction is a common finding in patients with myxomatous mitral valve diseases. The prevalence of mitral annular disjunction should be checked routinely during presurgical imaging. Otherwise, mitral annular disjunction itself might be an arrhythmogenic entity, irrespective of the presence of mitral valve prolapse (MVP). Therefore, we should check echocardiography keeping in mind mitral annular disjunction. Further prospective studies...
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Tomoko Tani, Toshiko Konda, Takeshi Kitai, Mitsuhiko Ota, Yutaka Furukawa Source Type: research
The Role of Surgical Treatment of Severe Functional Mitral Regurgitation in Heart Failure
Patient selection is mandatory to successful mitral valve repair in functional mitral valve regurgitation. Preoperative echo evaluation is critical to better evaluate the anatomic modification of the mitral apparatus. In light of recent randomized trials, several patients could benefit from transcatheter mitral therapy. Mitral annuloplasty is not effective in all patients with functional mitral valve regurgitation; meanwhile, adding surgical techniques should be performed to improve the repair durability. (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Khalil Fattouch, Francesco Guccione Source Type: research
Advances and Controversies in the Management of Mitral Valve Disease
Mitral regurgitation (MR) is among the most common valvular heart disorders. MR is classified as primary when it is due to a structural or degenerative abnormality of the valve, and secondary or functional MR occurs as a result of from left ventricular dysfunction or left atrial enlargement. While the surgical outcome has improved significantly over time for severe degenerative MR irrespective of symptoms, severe functional MR in patients with heart failure continues to be associated with poor outcomes from either ischemic or nonischemic cause. (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Takeshi Kitai Tags: Preface Source Type: research
Mitral Valve Disease
CARDIOLOGY CLINICS (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Authors: Takeshi Kitai Source Type: research
Copyright
ELSEVIER (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Source Type: research
Contributors
JAMIL A. ABOULHOSN, MD, FACC, FSCAI (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Source Type: research
Contents
Takeshi Kitai (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Source Type: research
Forthcoming Issues
Nephrocardiology (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 22, 2021 Category: Cardiology Source Type: research
Advances in Mitral Valve Repair for Degenerative Mitral Regurgitation
Degenerative mitral valve disease represents the most common cause of mitral regurgitation in industrialized countries. When left untreated, patients with severe degenerative mitral regurgitation show a poor clinical outcome. Conversely, a timely and appropriate correction provides a restored life expectancy and a good quality of life. Therefore, in this scenario, surgical mitral valve repair represents the gold standard of treatment. This review aims to analyze the indications, timing, and contemporary surgical techniques of mitral valve repair for degenerative mitral regurgitation. Moreover, the value of heart team appro...
Source: Cardiology Clinics - March 23, 2021 Category: Cardiology Authors: Benedetto Del Forno, Guido Ascione, Michele De Bonis Source Type: research
Minimally Invasive Mitral Surgery
In most patients, minimally invasive approaches to mitral valve surgery are technically possible. However, in practice, patient selection is critical to mitigate safety concerns when performing the procedure. In this article, we describe our approach to preoperative assessment for minimally invasive mitral valve surgery candidacy, as well as discussing the technical aspects of procedure execution. (Source: Cardiology Clinics)
Source: Cardiology Clinics - March 23, 2021 Category: Cardiology Authors: Daniel J.P. Burns, Per Wierup, Marc Gillinov Source Type: research
Current and Future Application of Transcatheter Mitral Valve Replacement
Mitral valve anatomy is complex, and one size does not fit all. More recently, percutaneous mitral valve interventions have revolutionized the management of primary and secondary mitral regurgitation (MR). However, edge-to-edge leaflet repair is not suitable for a large proportion of individuals including those with a failing bioprosthetic mitral valve/annuloplasty ring, and patients with significant mitral annular calcification resulting in mixed mitral valve disease/mitral stenosis. For this high risk cohort, transcatheter mitral valve replacement seems to be an attractive alternative. (Source: Cardiology Clinics)
Source: Cardiology Clinics - March 23, 2021 Category: Cardiology Authors: Vinayak Nagaraja, Samir R. Kapadia, Amar Krishnaswamy Source Type: research
