Mitral Stenosis Reversed by Medical Treatment for Heart Failure

Slides:

Advertisements

Similar presentations

Congenital mitral valve stenosis

Advertisements

Postoperative Left Ventricular Mass Regression After Aortic Valve Replacement for Aortic Stenosis Hiroshi Tomoeda, MD, Tomohiro Ueda, MD, Hideki Teshima,

Heart Failure With Preserved Left Ventricular Function: Diagnostic and Therapeutic Challenges in Patients With Diastolic Heart Failure Michael N. Young,

Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.

Intraoperative Pulmonary Artery Stenting: An Alternative Technique for the Management of Pulmonary Artery Stenosis Fotios A. Mitropoulos, MD, PhD, Hillel.

A Rare Case of Mitral Valve Prolapse in Endomyocardial Fibrosis

Mitraclip Followed by Surgical Aortic Valve Replacement: Hybrid Techniques for Regurgitant Aortic and Mitral Valve Disease Kyle Eudailey, MD, Nadira.

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Dual-Chamber Pacing for Cardiomyopathies: A 1996 Clinical Perspective

Progressive Mitral Stenosis After MitraClip Implantation in a Patient With Systemic Inflammatory Disease Mike Saji, MD, Gorav Ailawadi, MD, Dale E. Fowler,

Stephen Westaby, FRCS, Xu Y. Jin, MD, Takahiro Katsumata, MD, David P

Corey Adams, MD, Linrui Ray Guo, MD, Philip M

Mitral Stenosis Reversed by Medical Treatment for Heart Failure

Implantation of HeartMate II Left Ventricular Assist Device in a Single-Lung Patient Hannah Copeland, MD, Liset Stoletniy, MD, Antoine Sakr, MD, Anees.

Anita Nguyen, BEng, Wael I. Awad, MD, FRCS(C/Th)

Prosthetic Mitral Valve Replacement: Late Complications After Native Valve Preservation Eduardo Esper, MD, Francis D Ferdinand, MD, Solomon Aronson,

Left Ventricular Outflow Obstruction After Mitral Valve Replacement Preserving Native Anterior Leaflet Kazuma Okamoto, MD, Issei Kiso, MD, PhD, Yoshihito.

Reverse Left Ventricular Remodeling Causing Severe Mitral Regurgitation After Bentall Procedure Cinzia Trumello, MD, Paolo Denti, MD, Maria Chiara Calabrese,

Tissue Doppler Imaging Predicts Left Ventricular Reverse Remodeling After Surgery for Mitral Regurgitation Young Song, MD, Sak Lee, MD, PhD, Young-Lan.

Modified Starnes Procedure in a Neonate With Severe Tricuspid Regurgitation Ashok Muralidaran, MD, Richard W. Kim, MD, Gary S. Kopf, MD, Nicholas P. Pietris,

Application of Papillary Muscle Sling Concept in an Infant as a Biological Bridge to Transplantation Nai-Hsin Chi, MD, Shu-Chien Huang, MD, His-Yu Yu,

Paolo Pagnotta, MD, Marco G

The Influence of Mitral Annuloplasty on Left Ventricular Flow Dynamics

Heart Failure Due to Severe Supravalvular Aortic Stenosis in Painless Type A Aortic Dissection Hiroaki Sakamoto, MD, PhD, Yasunori Watanabe, MD, PhD,

Mitraclip Procedure as a Bridge Therapy in a Patient With Heart Failure Listed for Heart Transplantation Andrea Garatti, MD, Serenella Castelvecchio,

Isolated Papillary Muscle Rupture Complicating Acute Pancreatitis

Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,

Sapien XT Transcatheter Mitral Valve Replacement Under Direct Vision in the Setting of Significant Mitral Annular Calcification Takashi Murashita, MD,

Bailout After Failed Biventricular Management of Critical Aortic Stenosis: Another Application of the Hybrid Approach Christian Pizarro, MD, Majeed A.

Douglas L. Mann, MD, Michael A. Acker, MD, Mariell Jessup, MD, Hani N

Mauro Lo Rito, MD, Vikram Kudumula, MD, Tarak Desai, MD, Timothy J

Functional mitral stenosis after surgical annuloplasty for ischemic mitral regurgitation: Importance of subvalvular tethering in the mechanism and dynamic.

Postoperative Left Ventricular Mass Regression After Aortic Valve Replacement for Aortic Stenosis Hiroshi Tomoeda, MD, Tomohiro Ueda, MD, Hideki Teshima,

Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD

Reply The Annals of Thoracic Surgery

Early Aortic Bioprosthetic Valve Deterioration in an Octogenarian

Faisal H. Cheema, MD, Elbert E. Heng, Atiq Rehman, MD

Transcatheter Aortic Valve Implantation Under Direct Visualization in Homograft Valve Endocarditis Tarek Chami, MD, Guilherme Attizzani, MD, Benjamin.

MitraClip Implantation for the Treatment of New-Onset Systolic Anterior Motion of the Mitral Valve After Transcatheter Aortic Valve Replacement Carmelo.

Roberta De Rosa, MD, Dietmar Schranz, MD, Andreas M

Giant Left Atrial Appendage: A Rare Anomaly

Karam Nam, MD, Yoon Sang Park, MD, Won Ho Kim, MD, PhD

Rapidly Progressive Bioprosthetic Aortic Valve Stenosis Due to Bartonella Species Endocarditis Kathy Schnitzer, MD, Zafrir Or, MD, Shtiwi Sawaed, MD,

Zohair Al Halees, MD, Mahmoud M. Awad, MD, Frans Pieters, MD, Maie S

Walter B. Eichinger, MD, PhD, Ina M

Successful repair of a variant of mitral arcade

Dissection of atrial septum after mitral valve replacement

Nihan Kayalar, MD, Hartzell V. Schaff, MD, Richard C

Hemoptysis as a rare presentation of cor triatriatum sinister

Early Bioprosthetic Mitral Valve Failure Due to Fusion of the Cusps

Maria Kalliopi Konstantinidou, MD, PhD, Neil Moat, MD, PhD

Jorge Sierra, MD, FETCS, Nadia H. Lahlaïdi, MD, Jan T

Freddy Vermeulen, MD, Ben Swinkels, MD, Wim Jan van Boven, MD

Sixty Years After Tetralogy of Fallot Correction

Philip Y.K. Pang, MD, Susan Garwood, MBChB, Sabet W. Hashim, MD

Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A

Serial change in the atrial transport function after the radial incision approach Yosuke Ishii, MD, Takashi Nitta, MD, Masahiro Fujii, MD, Hidetsugu Ogasawara,

Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve Guy Jensen, MD, Thomas Smith, MD, Mona Flores,

Fixed left ventricular outflow tract obstruction in presumed hypertrophic obstructive cardiomyopathy: implications for therapy Charles J Bruce, MB, Rick.

Acquired Cor Triatriatum Sinister After the Fontan Operation and Successful Resection in a Child S. Javed Zaidi, MD, Rishi R. Adhikari, MD, Chawki El-Zein,

Successful Biventricular Conversion Late After Primary One and One-Half Ventricle Repair Takaya Hoashi, MD, PhD, Masataka Kitano, MD, Koji Kagisaki,

Norwood Stage 1 With Surgical Ventricular Reconstruction and Mitral Valve Repair for Neonatal Idiopathic Left Ventricular Dilated Cardiomyopathy Patrick.

Modified Edge-to-Edge Technique for Correction of Congenital Mitral Regurgitation in Infants and Children Gang Zhang, MD, Fusheng Zhang, MD, Mei Zhu,

Perforation of a Tricuspid Pouch Caused by Infective Endocarditis

Shaun P. Setty, MD, John L. Bass, MD, K. P

Cyrus J. Parsa, MD, Carmelo A. Milano, MD, Alan D. Proia, MD, PhD, G

Three mechanisms of early failure of transcatheter aortic valves: Valve thrombosis, cusp rupture, and accelerated calcification Matthew R. Summers, MD,

Ebstein’s Anomaly of the Tricuspid Valve in Combination of Tetralogy of Fallot: Total Correction in Infancy Chao-Han Lai, MD, Jing-Ming Wu, MD, Yu-Jen.

Absence of Posterior Mitral Leaflet With Secundum Atrial Septal Defect

David H. Harpole, MD, Stanley A. Gall, MD, Walter G. Wolfe, MD, J

Presentation transcript:

Mitral Stenosis Reversed by Medical Treatment for Heart Failure Sawami Yukawa, RDCS, Masaaki Takeuchi, MD, Akemi Nakazono, RDCS, Kyoko Sakamoto, RDCS, Kiyoshi Araya, RDT, Masataka Eto, MD, Yosuke Nishimura, MD, Masaru Harada, MD, Robert A. Levine, MD, Yutaka Otsuji, MD The Annals of Thoracic Surgery Volume 96, Issue 5, Pages e115-e117 (November 2013) DOI: 10.1016/j.athoracsur.2013.04.132 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Mitral filling flow velocity by continuous wave Doppler echocardiography and mitral valve full opening at early diastole by apical long axis view 2 weeks after valve plasty for degenerative mitral regurgitation. The transmitral pressure gradient is only modestly increased with a peak and mean gradient of 9.7 and 4.4 mm Hg, respectively. The mitral leaflet opening is preserved (yellow arrow) and the mitral valve area (MVA) by continuity equation was 1.8 cm2. (B) At the time of the second heart failure that developed 4 years after surgery, the transmitral pressure gradient is significantly increased with a peak and mean gradient of 26.8 and 8.4 mm Hg, respectively. In association with left ventricular (LV) dilatation, the mitral leaflet opening is reduced (yellow arrow) with an MVA of 1.2 cm2, indicating significant functional mitral stenosis. (C) Four months after aggressive medical treatment for heart failure, the transmitral pressure gradient is significantly improved with a peak and mean gradient of 9.3 and 4.6 mm Hg, respectively. With reverse LV remodeling, the mitral leaflet opening is improved (yellow arrow) with an MVA of 1.7 cm2. (LA = left atrium.) The Annals of Thoracic Surgery 2013 96, e115-e117DOI: (10.1016/j.athoracsur.2013.04.132) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions