Related Experiment Video
Updated: Jun 20, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Two-patch repair for atrioventricular septal defect with mitral aneurysm.
Hajime Imura1, Shun-ichiro Sakamoto, Yuji Maruyama
1Department of Surgery, Division of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.
The Annals of Thoracic Surgery
|September 22, 2009
Summary
This case report details a rare partial atrioventricular septal defect in an elderly patient with a unique mitral aneurysm. Surgical repair involved a Dacron patch to support the mitral leaflet and prevent aneurysm rupture.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Partial atrioventricular septal defects are uncommon, particularly in elderly patients.
- Mitral valve abnormalities can present complex diagnostic and surgical challenges.
Observation:
- An elderly patient presented with an unusual partial atrioventricular septal defect.
- Preoperative echocardiography revealed mitral leaflet pouching and a ventricular septal defect.
- A mitral aneurysm was identified and diagnosed as a septal aneurysm.
Findings:
- Surgical intervention utilized a crescent-shaped Dacron patch placed beneath the atrioventricular valve.
- The patch creation of a new annulus supported the anterior mitral leaflet.
- This technique aimed to prevent mitral aneurysm rupture.
Implications:
- This represents a novel surgical approach for a rare cardiac anomaly.
- The described technique offers a potential solution for mitral aneurysms associated with atrioventricular septal defects.
- Further research may explore the long-term efficacy of this repair method.
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:20Mitral Regurgitation I: Introduction
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...