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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 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 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...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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.

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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
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Repair of left atrioventricular valve cleft defects with patch augmentation.

John H Artrip1, Elizabeth M Rumball, Kirsten Finucane

  • 1Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Grafton, Auckland, New Zealand. johnartrip@yahoo.com

The Annals of Thoracic Surgery
|May 29, 2012
PubMed
Summary

Repairing left atrioventricular valve insufficiency after atrioventricular septal defect repair is difficult. A new technique using triangular patch material for cleft closure offers a simplified approach for complex cases.

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Published on: February 8, 2022

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Left atrioventricular valve insufficiency is a common complication after atrioventricular septal defect repair.
  • Standard repair techniques involve cleft closure and posterior annuloplasty.
  • Significant anterior leaflet tissue deficiency poses a challenge for primary cleft closure.

Purpose of the Study:

  • To present a simplified surgical technique for left atrioventricular valve insufficiency.
  • To describe the use of triangular patch material to support cleft closure.
  • To evaluate the outcomes of this technique in patients with atrioventricular septal defects.

Main Methods:

  • A simplified technique involving triangular-shaped patch material for cleft closure was employed.
  • This method was applied in conjunction with posterior annuloplasty.
  • The technique was performed on 13 patients requiring re-operation for left atrioventricular valve insufficiency.

Main Results:

  • The simplified technique was successfully applied in 13 patients.
  • Outcomes related to valve function and patient recovery were assessed.
  • Specific results regarding the efficacy of the patch-supported cleft closure were documented.

Conclusions:

  • A simplified technique using triangular patch material is a viable option for managing left atrioventricular valve insufficiency.
  • This approach may be particularly useful when primary cleft closure is impractical due to leaflet deficiency.
  • Further studies are warranted to confirm long-term outcomes.