Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-18T18:50:26.975Z Has data issue: false hasContentIssue false
  • English
  • Français

A three-step technique for repair of rheumatic disease of the mitral valve*

Published online by Cambridge University Press:  29 December 2014

Matthew P. Thomas  and
Vinay Badhwar
Matthew P. Thomas
Affiliation:
Center for Mitral Valve Disease, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
Vinay Badhwar*
Affiliation:
Center for Mitral Valve Disease, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
*
Correspondence to: V. Badhwar, MD, Center for Mitral Valve Disease, Heart and Vascular Institute, University of Pittsburgh, Presbyterian Hospital, 200 Lothrop Street, Suite C700, Pittsburgh, PA 15213, United States of America. Tel: +412 648 6314; Fax: +412 692 2184; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract:

This manuscript presents a technically straightforward technique to allow for mitral valve repair in the patient with rheumatic mitral stenosis. This non-resection technique allows for the correction of both mitral stenosis and regurgitation without requiring complex subvalvar procedures and eliminates the concerns for postoperative systolic anterior motion. The authors feel this three-part technique of bi-commissural release, anterior leaflet augmentation, and oversized annuloplasty may allow for a more reproducible approach to repair of the rheumatic mitral valve.

Keywords

Rheumatic heart diseasemitral stenosismitral repairsurgical techniques
Type
Original Article
Information
Cardiology in the Young , Volume 24 , Issue 6: HeartWeek 2014 , December 2014 , pp. 1104 - 1107
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at All Children’s Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).

References

1.Karthikeyan, G, Zuhlke, L, Engel, M, et al. Rationale and design of a global rheumatic heart disease registry: the REMEDY study. Am Heart J 2012; 163: 535–540. e1.Google Scholar
2. World Heart Federation. Rheumatic heart disease fact sheet. World Heart Federation, 2012. Retrieved August 15, 2014, from http://www.world-heart-federation.org/press/fact-sheets/rheumatic-heart-disease.Google Scholar
3.Kumar, V, Abbas, AK, Fausto, N, Mitchell, RN. Robbins Basic Pathology, 8th edn. Saunders Elsevier, Philadelphia, Pennsylvania, United States of America, 2007: 403–406; ISBN: 978-1-4160-2973-1.Google Scholar
4.Caldas, AM, Terreri, MT, Moises, VA, et al. What is the true frequency of carditis in acute rheumatic fever? A prospective clinical and Doppler blind study of 56 children with up to 60 months of follow-up evaluation. Pediatr Cardiol 2008; 29: 1048–1053.Google Scholar
5.Guilherme, L, Cury, P, Demarchi, LM, et al. Rheumatic heart disease: proinflammatory cytokines play a role in the progression and maintenance of valvular lesions. Am J Pathol 2004; 165: 1583–1591.Google Scholar
6.Chan, PG, Hayanga, AJ, Badhwar, V. Repair of rheumatic mitral stenosis with anterior leaflet augmentation, bi-commissural release and oversized annuloplasty: a durable and simplified approach. Multimed Man Cardiothorac Surg 2014; 2014:mmt020. doi: 10.1093/mmcts/mmt020. PMID: 24435097.Google Scholar