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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 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 II: Clinical features and Diagnostic Tests01:23

Mitral 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...
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...
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 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...

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Updated: Jun 18, 2026

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

Parabolic resection for mitral valve repair.

Daniel H Drake1, Charles G Drake, Dino Recchia

  • 1Section of Cardiothoracic Surgery, Department of Surgery, Munson Medical Center, Traverse City, MI 49684, USA. TCBulldog@Charter.Net

Interactive Cardiovascular and Thoracic Surgery
|December 1, 2009
PubMed
Summary

Parabolic resection is a novel mitral valve repair technique that preserves tissue. This method shows excellent short- and long-term results, with high rates of repair stability and freedom from reintervention.

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Published on: December 11, 2017

Area of Science:

  • Cardiac Surgery
  • Cardiovascular Research
  • Surgical Techniques

Background:

  • Mitral regurgitation often requires complex valve repair.
  • Experienced surgeons use tissue-preserving techniques.
  • Parabolic resection is a modification of conventional mitral valve resection.

Purpose of the Study:

  • To describe and clinically analyze the parabolic resection technique for mitral valve repair.
  • To evaluate the efficacy and safety of parabolic resection in patients with mitral regurgitation.

Main Methods:

  • Thirty-six patients with mitral regurgitation underwent mitral valve repair using parabolic resection.
  • Data collected included institutional, Society of Thoracic Surgeons, and echocardiographic data (preoperative, post-cardiopulmonary bypass, and postoperative).
  • Clinical outcomes and echocardiographic findings were analyzed.

Main Results:

  • All patients demonstrated no or mild regurgitation immediately after cardiopulmonary bypass.
  • Thirty-day surgical mortality was 2.8%.
  • Excellent repair stability was observed, with 80% freedom from cardiac death, reintervention, and moderate or severe regurgitation at four years.

Conclusions:

  • Parabolic resection is a simple yet effective technique for complex mitral valve reconstruction.
  • The technique demonstrates excellent early and intermediate results in terms of repair stability and patient outcomes.
  • Parabolic resection enhances the probability of successful mitral valve repair.