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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 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 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...

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Assessment of the stentless mitral valve and operation using bioengineering method.

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Redo mitral valve repair 20 years after the initial repair.

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Application of stentless mitral valve to surgery in infective endocarditis: Partial Normo valve repair.

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Related Experiment Video

Updated: May 9, 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

[Re-do mitral valve repair].

Hitoshi Kasegawa1

  • 1Department of Cardiovascular Surgery, The Sakakibara Heart Institute, Fuchu, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 7, 2013
PubMed
Summary

Re-do mitral valve repair is effective for recurrent mitral regurgitation caused by sutureline detachment. However, outcomes are less predictable for chronic recurrent mitral regurgitation, suggesting alternative solutions like the Normo valve.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Repair
  • Medical Device Innovation

Context:

  • Mitral regurgitation (MR) recurrence after mitral valve (MV) repair presents a clinical challenge.
  • A significant percentage of patients undergoing MV repair require re-operation.
  • Distinguishing between repairable and non-repairable recurrent MR is crucial for patient outcomes.

Purpose:

  • To evaluate the indications and outcomes of re-do mitral valve repair for recurrent MR post-MV repair.
  • To identify factors influencing the success of re-do MV repair.
  • To assess the potential of a novel stentless MV (Normo) for patients with recurrent MR unsuitable for re-repair.

Summary:

  • Out of 1,163 patients with MV prolapse repair, 70 (6.0%) needed re-operation; 14 (20%) underwent re-do repair, 56 (80%) MV replacement.

More Related Videos

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

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Related Experiment Videos

Last Updated: May 9, 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

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

  • Re-do repair was successful in 6 of 7 patients with early recurrence due to sutureline detachment; chronic recurrence had low predictability.
  • The newly developed stentless Normo MV is proposed as a solution for recurrent MR with low feasibility for re-repair.

    • Impact:

    • Provides evidence-based criteria for selecting patients for re-do mitral valve repair.
    • Highlights the limitations of re-repair in chronic recurrent mitral regurgitation.
    • Introduces a potential new therapeutic option (Normo valve) for complex cases of recurrent mitral regurgitation.