Mitral Valve Repair

Description

Surgical options for the treatment of degenerative, ischemic, inflammatory, and functional mitral valve diseases have expanded greatly in recent decades. Still, a dilemma exists with employing prosthetic mitral valves – in that mechanical valves exhibit good durability but require anticoagulation versus the unpredictable durability of biological valve prostheses. Over the past few years, it has become clear that reconstruction of the mitral valve with autologous tissues effectively addresses this dilemma, with no need for anticoagulation and excellent durability, combining the best qualities of both prosthetic options without the disadvantages. Moreover, newer repair strategies, such as autologous pericardial leaflet augmentation and artificial choral replacement have expanded reparative approaches into virtually all pathologies, with excellent long-term results as compared to prosthetic valve replacement. At present, mitral repair is becoming the dominant procedure for treatment of virtually all patients with mitral valve disease. This book is designed to illustrate contemporary and sometimes diverse surgical techniques for various types of mitral valve repair with contributions from many of the leaders in the field. Mitral Valve Repair and the recently published Aortic Root Surgery are book publications arising from the Berlin Heart Valve Symposium 2008 entitled “ The Biological Solution”. The Mitral Valve Repair session was postponed to June 2009 and was featured as the Berlin Mitral Valve Symposium at the joint meeting of the Society for Heart Valve Diseases and the Heart Valve Society of America in Berlin. The book contains a collection of proceedings on current techniques and outcomes of mitral valve repair by many of the experts in this field which provide an authoritative reference source for cardiac surgeons, family practitioners and clinicians. Front Matter....Pages I-XVI Front Matter....Pages 1-1 Perioperative echocardio graphic imaging of mitral valve incompetence....Pages 3-24 Perioperative echocardiographic imaging after mitral valve repair for ischemic, inflammatory, and degenerative incompetence....Pages 25-38 Front Matter....Pages 39-39 Mitral valve repair in children....Pages 41-56 Mitral valve repair using biodegradable annuloplasty rings....Pages 57-66 Hypertrophic obstructive cardiomyopathy and the mitral valve....Pages 67-79 Modified tricuspid repair in patients with Ebstein’s anomaly....Pages 81-88 Front Matter....Pages 89-89 Introduction to the keynote lecture by Robert W.M. Frater, M.B., CH.B.....Pages 91-94 Chordae: 1959–2009....Pages 95-109 Is chordal insertion the procedure of choice in mitral valve repair?....Pages 111-114 Artificial chordal replacement for complex mitral valve repair....Pages 115-130 Twenty-year results of artificial chordae replacement in mitral valve repair....Pages 131-143 Current concepts in Barlow’s valve reconstruction....Pages 145-153 Front Matter....Pages 155-155 Robotic mitral valve surgery....Pages 157-165 Ischemic mitral regurgitation: the role of the »edge-to-edge« repair....Pages 167-174 Mitral valve repair for ischemic mitral incompetence....Pages 175-193 Effects of valve repair on long-term patient outcomes after mitral valve surgery....Pages 195-209 Front Matter....Pages 211-211 Repair of rheumatic mitral valve incompetence: surgical challenges and clinical results....Pages 213-235 Mitral valve repair in rheumatic disease....Pages 237-247 Autologous pericardial patch leaflet augmentation in the setting of mitral valve repair....Pages 249-258 Mitral valve repair for active infective endocarditis....Pages 259-271 Back Matter....Pages 273-287