By Edward B. Savage MD, Steven F. Bolling MD

ISBN-10: 0781746922

ISBN-13: 9780781746922

This full-color atlas with accompanying video DVD presents a whole and useful "how-to" consultant to making plans and appearing mitral valve fix surgical procedure for mitral regurgitation. The publication studies the common historical past of mitral regurgitation, the practical anatomy of the mitral valve, and using echocardiography in preoperative evaluate and surgical making plans. Chapters describe and illustrate all ideas presently used for mitral valve fix and talk about results.

A bound-in DVD provides narrated videos of six instances that convey the appliance of particular thoughts. each one case starts with preoperative echocardiograms demonstrating the mitral valve disorder and proceeds via key surgical maneuvers.

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Additional info for Atlas of Mitral Valve Repair

Example text

1) and separating the fused chordae (Fig. 2) to the anterior and posterior leaflets (Fig. 3). Great care should be taken to insure that the valve is competent on closure and pliable enough to open with minimal pressure. 1 Commissural division. After the placement of stay sutures the commissure is carefully divided with a scalpel along the line of fusion next to, but not extending to, the annulus. (From Kouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB. Kirklin/Barratt-Boyes cardiac surgery: morphology, diagnostic criteria, natural history, techniques, results, and indications.

5 mm between the anterior and posterior leaflets. In situations of annular reduction for cardiomyopathy and ischemic disease some surgeons advocate placing the smallest ring possible. Though it is theoretically possible to create mitral stenosis, significant stenosis is unusual with simple annular reduction (Figs. 22). 16 Placement of sutures through the annuloplasty band. 17 Securing the ring. 18 Sizing the annuloplasty ring. 19 Sizing the annuloplasty band. 20 Sizing the annuloplasty band. 21 Sizing the annuloplasty ring.

Komoda T, Hubler M, Siniawski H, Hetzer R. Annular stabilization in mitral repair without a prosthetic ring. J Heart Valve Dis. 2000;9:776–782. Reed GE, Tice DA, Clauss RH. Asymmetric exaggerated mitral annuloplasty: repair of mitral insufficiency with hemodynamic predictability. J Thorac Cardiovasc Surg. 1965;49:752. Reed GE, Pooley RW, Moggio RA: Durability of measured mitral annuloplasty; 17 year study. J Thorac Cardiovasc Surg. 1980;79:321. Kay JH, Zubiate P, Mendez AM, Carpena C, Watanabe K, Magidson O.

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Atlas of Mitral Valve Repair by Edward B. Savage MD, Steven F. Bolling MD


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