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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 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 Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
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 IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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...

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Related Experiment Video

Updated: May 10, 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

Gastrointestinal complications after mitral valve surgery.

Iosif Gulkarov1, Susan M Trocciola, Christina C Yokoyama

  • 1Department of Cardiothoracic Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, USA.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|June 27, 2013
PubMed
Summary

Gastrointestinal complications after mitral valve surgery are rare but serious. Cardiogenic shock, chronic renal insufficiency, and vasopressor use significantly increase risk, impacting patient survival.

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

Published on: October 16, 2021

Related Experiment Videos

Last Updated: May 10, 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

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

Area of Science:

  • Cardiovascular Surgery
  • Gastroenterology
  • Critical Care Medicine

Background:

  • Gastrointestinal (GI) complications are known risks following open heart surgery.
  • Mitral valve surgery presents unique pre-operative, intra-operative, and post-operative challenges.
  • This study investigates the causes and risk factors for GI complications specifically after mitral valve surgery.

Observation:

  • A retrospective analysis of 565 patients undergoing mitral valve surgery between 2003-2005 was conducted.
  • Data included preoperative risk factors, cardiac status, intra-operative details, and postoperative GI complications.
  • Survival rates were analyzed using log-rank analysis.

Findings:

  • 13 patients (2.3%) experienced 16 GI complications, including GI bleed, cholecystitis, perforated diverticulitis, and ischemic bowel.
  • Univariate analysis identified hypertension, chronic renal insufficiency (CRI), hypercholesterolemia, myocardial infarction, congestive heart failure, cardiogenic shock, emergency surgery, coronary artery bypass surgery, and vasopressor use as risk factors.
  • Multivariate analysis confirmed cardiogenic shock (OR 8.1), CRI (OR 8.1), and vasopressor use (OR 6.5) as significant independent predictors of GI complications.

Implications:

  • GI complications post-mitral valve surgery are infrequent but associated with significantly lower survival rates.
  • Pre-operative hemodynamic instability, indicated by cardiogenic shock or vasopressor requirement, is a critical predictor of GI complications.
  • Increased vigilance and proactive management strategies are warranted for patients with these risk factors undergoing mitral valve surgery.