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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral 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...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Mitral Regurgitation III: Medical Management01:25

Mitral 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...
Mitral Stenosis I: Introduction01:22

Mitral 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...
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
Mitral Regurgitation I: Introduction01:20

Mitral 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...

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Related Experiment Video

Updated: Jun 19, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Trends in mitral valve surgery: a single practice experience.

J Scott Rankin1, Calvin A Burrichter, Melissa K Walton-Shirley

  • 1Centennial Medical Center and Vanderbilt University, Nashville, TN, USA. jsrankinmd@cs.com

The Journal of Heart Valve Disease
|October 27, 2009
PubMed
Summary

Mitral valve repair techniques, including ring annuloplasty (RA), artificial chordal replacement (ACR), and pericardial augmentation (PA), have significantly improved outcomes. Operative mortality for mitral repair has decreased to near zero, supporting expanded use of repair strategies.

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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

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Last Updated: Jun 19, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Repair
  • Medical Technology Innovation

Background:

  • Mitral valve repair has advanced with three primary techniques: ring annuloplasty (RA) for annular disease, artificial chordal replacement (ACR) for chordal disease, and pericardial augmentation (PA) for leaflet disease.
  • The study investigates the impact of increased application of these repair methods on surgical outcomes over time.

Purpose of the Study:

  • To assess the evolving operative results of mitral valve repair techniques.
  • To evaluate the trend of increasing repair application across various mitral valve pathologies.

Main Methods:

  • Analysis of 328 consecutive mitral valve procedures categorized by etiology (myxomatous prolapse, rheumatic, ischemic, etc.).
  • Patients were grouped by two-year intervals and by repair versus replacement.
  • Outcomes were assessed using linear and binomial regression analysis.

Main Results:

  • Overall mitral valve repair rate increased from 55% to 100% across etiologies.
  • Average operative mortality decreased from 6% to 0% over the study period.
  • Reoperation rates after repair were low at 2% over 10 years.

Conclusions:

  • Modern mitral valve repair techniques (RA, ACR, PA) can address most pathologies effectively.
  • The expanding application of mitral repair has contributed to near-zero operative mortality.
  • These findings support the increased utilization of mitral valve repair for a wide range of disorders.