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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

469
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...
469
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

586
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...
586
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

1.1K
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...
1.1K
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

945
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...
945
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

1.1K
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...
1.1K
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

1.4K
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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Related Experiment Video

Updated: Apr 5, 2026

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

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Published on: May 26, 2023

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Mitral valve repair versus replacement.

Stephanie L Mick1, Suresh Keshavamurthy1, A Marc Gillinov1

  • 1Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, USA.

Annals of Cardiothoracic Surgery
|August 27, 2015
PubMed
Summary
This summary is machine-generated.

Mitral valve repair is optimal for mitral valve dysfunction from various causes. Evidence strongly supports repair over replacement, especially for degenerative mitral regurgitation.

Keywords:
Mitraldegenerativeischemic mitral regurgitationmitral valve endocarditisrepairreplacementrheumatic

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Area of Science:

  • Cardiovascular Surgery
  • Valvular Heart Disease
  • Adult Cardiology

Background:

  • Mitral valve disease stems from degenerative, ischemic, rheumatic, and infectious (endocarditis) causes in adults.
  • Mitral valve repair is generally preferred over replacement for treating mitral valve dysfunction.
  • The strongest evidence favors repair for degenerative mitral regurgitation.

Purpose of the Study:

  • To review data on mitral insufficiency across different etiologies.
  • To provide evidence-based recommendations for mitral valve treatment.

Main Methods:

  • Systematic review of existing literature.
  • Analysis of data categorized by cause of mitral insufficiency.
  • Synthesis of findings to formulate recommendations.

Main Results:

  • Repair is the preferred surgical option for most mitral valve diseases.
  • Degenerative mitral regurgitation shows the most robust support for repair.
  • Data synthesis across etiologies informs treatment strategies.

Conclusions:

  • Mitral valve repair offers superior outcomes for various mitral valve pathologies.
  • Recommendations emphasize repair, particularly in degenerative cases.
  • Evidence supports a standardized approach to mitral valve repair based on etiology.