Related Experiment Video
Updated: Aug 6, 2026
18:50
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
14.1K
Mitral Valve Surgery in Patients With Severe Mitral Annular Calcification
Tomoya Uchimuro1, Toshihiro Fukui1, Atsushi Shimizu1
1Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
The Annals of Thoracic Surgery
|November 8, 2015
Summary
Complete mitral annular decalcification and reconstruction in severe mitral annular calcification patients offers favorable surgical outcomes. This approach demonstrates good long-term survival and freedom from adverse events.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Valvular Heart Disease
Background:
- Severe mitral annular calcification presents significant challenges during mitral valve surgery.
- Surgical outcomes for mitral valve surgery with complete annular decalcification and reconstruction were investigated.
Purpose of the Study:
- To evaluate the surgical outcomes of mitral valve surgery in patients with severe mitral annular calcification.
- To assess the efficacy of complete annular decalcification and reconstruction in this patient population.
Main Methods:
- A review of 61 patients with severe mitral annular calcification who underwent mitral valve surgery between 2004 and 2013.
- Complete annular resection and reconstruction using pericardium or synthetic materials.
- Analysis of early complications, long-term survival, and freedom from major adverse events.
Main Results:
- No 30-day hospital deaths were recorded.
- At 5 years, survival was 75.6%, with 79.7% freedom from cardiac death and 72.7% freedom from major adverse valve-related events.
- Coronary artery disease was identified as an independent predictor of cardiac death.
Conclusions:
- Complete annular decalcification and reconstruction is a viable and effective strategy for mitral valve surgery in patients with severe mitral annular calcification.
- This technique yields favorable short-term and long-term outcomes, including good survival rates.
Related Concept Videos
01:22Mitral 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.
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:25Mitral 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...
01:22Mitral 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...
01:23Mitral 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...
01:26Mitral 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...