Is the Anterior Intertrigonal Distance Increased in Patients With Mitral Regurgitation Due to Leaflet Prolapse? Rakesh M. Suri, MD, DPhil, Jasmine Grewal,

Slides:

Advertisements

Similar presentations

Surgical Indications and Results of Mitral Valve Repair in Pediatric Patients With Ventricular Septal Defects Accompanied by Mitral Valve Regurgitation

Advertisements

Neonatal Flail Tricuspid Valve: Diagnosis and Management

Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients Gerald.

Left ventricular dysfunction after mitral valve repair—the fallacy of “normal” preoperative myocardial function Eduard Quintana, MD, Rakesh M. Suri,

The First Cardiac Operation Using Cardiopulmonary Bypass

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

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

Preoperative Three-Dimensional Valve Analysis Predicts Recurrent Ischemic Mitral Regurgitation After Mitral Annuloplasty Wobbe Bouma, MD, Eric K. Lai,

Severe Pulmonary Valve Regurgitation 40 Years After Blunt Chest Trauma

In Vitro Mitral Valve Simulator Mimics Systolic Valvular Function of Chronic Ischemic Mitral Regurgitation Ovine Model Andrew W. Siefert, MS, Jean Pierre.

Restricted posterior leaflet motion after mitral ring annuloplasty

Successful Robot-Assisted Repair of Congenital Mitral Valve Regurgitation Vijayakumar Raju, MD, Harold M. Burkhart, MD, Frank Cetta, MD, Rakesh M. Suri,

George Gogoladze, MD, Sophia L

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

Alison M. Pouch, PhD, Benjamin M

Antonio M. Calafiore, MD The Annals of Thoracic Surgery

Mitral Valve Repair Is Durable in Patients With Rheumatoid Arthritis

Is Physiologic Annular Dynamics Preserved After Mitral Valve Repair With Rigid or Semirigid Ring? Masaaki Ryomoto, MD, PhD, Masataka Mitsuno, MD, PhD,

Posterior Leaflet Augmentation in Ischemic Mitral Regurgitation Increases Leaflet Coaptation and Mobility Arminder S. Jassar, MBBS, Masahito Minakawa,

Impact of Left Ventricular Systolic Function on Outcome of Correction of Chronic Severe Aortic Valve Regurgitation: Implications for Timing of Surgical.

Midterm Results of Mitral Valve Repair: Closed Versus Open Annuloplasty Ring Dan Spiegelstein, MD, Yaron Moshkovitz, MD, Leonid Sternik, MD, Micha S.

Regional Annular Geometry in Patients With Mitral Regurgitation: Implications for Annuloplasty Ring Selection Arminder S. Jassar, MBBS, Mathieu Vergnat,

A Standardized Loop Technique for Mitral Valve Repair

Use of an Expanded Polytetrafluoroethylene Patch as an Artificial Leaflet in Mitral Valve Plasty: An Early Experience Toshiaki Ito, MD, Atsuo Maekawa,

Psychoemotional and Quality of Life Response to Mitral Operations in Patients With Mitral Regurgitation: A Prospective Study Tali Bayer-Topilsky, PhD,

A “Repair-All” Strategy for Degenerative Mitral Valve Disease Safely Minimizes Unnecessary Replacement Andrew B. Goldstone, MD, Jeffrey E. Cohen, MD,

Measurement of Mitral Leaflet and Annular Geometry and Stress After Repair of Posterior Leaflet Prolapse: Virtual Repair Using a Patient-Specific Finite.

Successful repair of a variant of mitral arcade

Rakesh M. Suri, MD, DPhil, Ryan M. Antiel, MA, Harold M

Management of Mild Aortic Stenosis at the Time of Coronary Artery Bypass Surgery: Should the Valve Be Replaced? Basar Sareyyupoglu, MD, Thoralf M. Sundt,

Quantitative Assessment of Mitral Valve Coaptation Using Three-Dimensional Transesophageal Echocardiography Frederick C. Cobey, MD, MPH, Madhav Swaminathan,

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

Mathieu Vergnat, MD, Melissa M. Levack, MD, Benjamin M

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

Ebstein’s Anomaly Assessed by Real-Time 3-D Echocardiography

Intermediate-term results of a nonresectional dynamic repair technique in 662 patients with mitral valve prolapse and mitral regurgitation Gerald M.

A New Surgical Repair Technique for Ischemic Total Papillary Muscle Rupture Sung Kwang Lee, MD, Woon Heo, MD, Ho-Ki Min, MD, Do Kyun Kang, MD, Hee Jae.

Tricuspid Leaflet Augmentation to Eliminate Residual Regurgitation in Severe Functional Tricuspid Regurgitation Jong Bum Choi, MD, Nan Yeol Kim, MD,

Commissural Closure for Repair of Mitral Commissural Prolapse

Muralidhar Padala, BS, Nikolay V. Vasilyev, MD, James W

Congenital absence of posteromedial papillary muscle and anterior mitral leaflet chordae: The use of three-dimensional echocardiography and approach in.

Barlow disease: Simple and complex

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,

Echocardiographic visualization and quantification of mitral complex during mitral repair for severe functional mitral regurgitation Kikuko Obase, MD,

A Novel Method of Leaflet Reconstruction After Triangular Resection for Posterior Mitral Valve Prolapse Rakesh M. Suri, MD, DPhil, Harold M. Burkhart,

Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair Sameh M. Said, MD, Hartzell V. Schaff, MD,

Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD

Stuart A. Abel, MD, Thomas A. Stark, MD, Kent H

One Hundred Percent Reparability of Degenerative Mitral Regurgitation: Intermediate- Term Results of a Dynamic Engineered Approach Gerald M. Lawrie, MD,

John M. Stulak, MD, Rakesh M. Suri, MD, DPhil, Joseph A

Early and Midterm Outcomes of Folding Valvuloplasty Without Leaflet Resection for Myxomatous Mitral Valve Disease Minoru Tabata, MD, MPH, Ravi K. Ghanta,

Indexed Left Ventricular Dimensions Best Predict Survival After Aortic Valve Replacement in Patients With Aortic Valve Regurgitation Morgan L. Brown,

Robert W. Loar, MD, Shiraz A

Tirone E. David, MD, Carolyn M. David, BN, Cedric Manlhiot, MS

Use of Barbed Suture in Robot-Assisted Mitral Valvuloplasty

Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous.

Survival Advantage and Improved Durability of Mitral Repair for Leaflet Prolapse Subsets in the Current Era Rakesh M. Suri, MD, DPhil, Hartzell V. Schaff,

Takotsubo Cardiomyopathy Following Pericardiocentesis After Aortic Valve Repair and Ascending Aorta Replacement Igor Belluschi, MD, Micaela Cioni, MD,

Wobbe Bouma, MD, Chikashi Aoki, MD, Mathieu Vergnat, MD, Alison M

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

Posterior Chordal Cutting in Rheumatic Mitral Regurgitation Due to Hypomobility of the Posterior Leaflet Antonio Maria Calafiore, MD, Ibrahim Farah,

Echocardiographic Predictors of Left Ventricular Function and Clinical Outcomes After Successful Mitral Valve Repair: Conventional Two-Dimensional Versus.

Mitral Valve Basal Chordae: Comparative Anatomy and Terminology

Basar Sareyyupoglu, MD, Hartzell V. Schaff, MD, Rakesh M

Regional Changes in Coaptation Geometry After Reduction Annuloplasty for Functional Mitral Regurgitation David G. Greenhouse, MD, Sophia L. Dellis, BA,

Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse Rakesh M. Suri, MD, DPhil, Hartzell.

Mitral Valve Surgery in Patients With Severe Mitral Annular Calcification Tomoya Uchimuro, MD, Toshihiro Fukui, MD, Atsushi Shimizu, MD, Shuichirou Takanashi,

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

Effects of Annular Size, Transmitral Pressure, and Mitral Flow Rate on the Edge-To- Edge Repair: An In Vitro Study Jorge H. Jimenez, MS, Joseph Forbess,

Masakazu Aoki, MD, Toshiaki Ito, MD, PhD

Presentation transcript:

Is the Anterior Intertrigonal Distance Increased in Patients With Mitral Regurgitation Due to Leaflet Prolapse? Rakesh M. Suri, MD, DPhil, Jasmine Grewal, MD, Sunil Mankad, MD, Maurice Enriquez-Sarano, MD, Fletcher A. Miller, MD, Hartzell V. Schaff, MD The Annals of Thoracic Surgery Volume 88, Issue 4, Pages 1202-1208 (October 2009) DOI: 10.1016/j.athoracsur.2009.04.112 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Figure 1 Three-dimensional (3D) echocardiographic images. (A) Preoperative 3D echocardiogram images of a flail middle scallop of the posterior leaflet. Trigones are demarcated (star). (B) Postoperative 3D echocardiogram images after mitral valve repair with the annuloplasty band anchored at the fibrous trigones (star). (C) Atrial view of the mitral annulus at end diastole without (left panel) and with (right panel) measurement markers. Verification of correct position of measurement markers on the mitral annulus was obtained in three orthogonal planes. (A = anterior; AL = anterolateral; P = posterior; PM = posteromedial.) The Annals of Thoracic Surgery 2009 88, 1202-1208DOI: (10.1016/j.athoracsur.2009.04.112) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Measurement of the intertrigonal distance. The bar graph presents anterior intertrigonal distance measurements by the surgeon versus two repeat three-dimensional (3D) echocardiographic calculations. There was no significant difference in the distance obtained between the two techniques (p = 0.73) or between repeat echocardiogram measurements (p = 0.41). The Annals of Thoracic Surgery 2009 88, 1202-1208DOI: (10.1016/j.athoracsur.2009.04.112) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Measurement of the mitral annulus. The bar graph presents mitral annular measurements by three-dimensional echocardiography averaged over the cardiac cycle comparing normal controls () versus myxomatous leaflet prolapse cases prior to mitral valve repair (□). The total circumference and posterior mitral annulus length are both significantly increased in leaflet prolapse cases (*: p < 0.001) while the intertrigonal distance is similar to normal controls (p = 0.13). The Annals of Thoracic Surgery 2009 88, 1202-1208DOI: (10.1016/j.athoracsur.2009.04.112) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Mitral annular dynamics before and after mitral valve repair. The line plots present total mitral annular circumference of leaflet prolapse cases measured by three-dimensional echocardiography before (- - -) and after (—) mitral valve repair including a standard length flexible 63 mm posterior annuloplasty band. The total circumference is significantly smaller postrepair at all time points during the cardiac cycle (*, p < 0.001). Significant cyclic enlargement of the mitral annulus is noted between early diastole and late systole prerepair (⋆, p = 0.001) which is preserved after valve repair (+, p = 0.004). The Annals of Thoracic Surgery 2009 88, 1202-1208DOI: (10.1016/j.athoracsur.2009.04.112) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions