Full Description
Ischemic or idiopathic mitral valve disease (so called secondary mitral valve regurgitation) is a rather new concept. This topic is deeply polarizing the attention of the cardiologist and cardiothoracic community. Although there is an impressive amount of efforts to understand the etiology, mechanism, treatment and prognostic factors, still clear indications and guide-lines are missing. Therefore this group of patients lie in a grey-area and physicians looking after them cannot count on proper recommendations. The main purpose of this book is to review the most relevant knowledge about secondary mitral valve regurgitation, from the anatomy, definition, classification, diagnosis and prevalence to the up-to-date surgical and medical management.
Contents
Prevalence
and definition of secondary mitral valve regurgitation.- Anatomical changes
associated with secondary mitral regurgitation: Difference between ischemic and
idiopathic cardiomyopathy.- Clinical prognostic value of secondary mitral valve
regurgitation.- Functional classification of the secondary mitral valve
regurgitation.- Preoperative echocardiographic evaluation of secondary mitral
valve regurgitation.- Three-dimensional echocardiographic imaging of secondary
mitral valve regurgitation.- Dynamic stress evaluation of secondary mitral
valve regurgitation.- Evaluation of secondary mitral valve regurgitation by
cardiac magnetic resonance.- Timing and patients selection for surgical repair
of secondary mitral valve regurgitation.- Intraoperative echocardiographic
imaging during mitral valve repair.- Surgical approaches of secondary mitral
regurgitation: Mitral valve restrictive annuloplasty: the ideal strategy.- The
role of the "edge-to-edge" mitral valve repair.- Prosthetic ring choice: impact
on clinical outcomes and repair results.- Papillary muscles relocation.- Basal
chordal cutting.- The Coapsys Device.- The CorCap device.- Role of cardiac
resynchronization therapy.- Percutaneous treatment in secondary mitral valve
regurgitation.- 2D and 3D echocardiographic imaging during percutaneous mitral
clip procedure.- Impact of tricuspid valve regurgitation in patients with
secondary mitral valve regurgitation.- Tricuspid valve repair: when and how.-
Predictors of recurrent mitral regurgitation after mitral valve repair
surgery.- Follow-up after mitral valve repair.
