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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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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...
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Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

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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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Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

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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...
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Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

529
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...
529
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

1.0K
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...
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Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

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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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Updated: Mar 28, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
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[Interventional mitral valve replacement. Current status].

G Lutter1, D Frank2

  • 1Klinik für Herz- und Gefäßchirurgie, Lehrstuhl für Experimentelle Herzchirurgie und Herzklappenersatz, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland. Georg.Lutter@uksh-kiel.de.

Herz
|December 15, 2015
PubMed
Summary
This summary is machine-generated.

Transcatheter mitral valved stent implantation offers a new therapeutic option for severe mitral valve regurgitation patients unsuitable for surgery. This minimally invasive approach shows feasibility in high-risk individuals.

Keywords:
Mitral stentMitral valve insufficiencyOff-pumpTransapicalTranscatheter

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Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology
  • Biomedical engineering

Background:

  • Severe valvular heart disease, like mitral regurgitation, affects many patients, with ~30% ineligible for conventional surgery.
  • An increasing elderly population with comorbidities drives the need for alternative treatments.

Purpose of the Study:

  • To explore transcatheter interventions as an alternative to surgery for severe mitral regurgitation.
  • To evaluate the feasibility of transcatheter mitral valved stent implantation.

Main Methods:

  • Development of alternative transcatheter reconstruction technologies.
  • Off-pump implantation of a valved stent in the mitral position, primarily via a transapical approach.
  • Leveraging experience from transcatheter aortic valve implantation (TAVI) procedures.

Main Results:

  • Transcatheter interventions have been developed to address unmet clinical needs.
  • Feasibility of transcatheter mitral valved stent implantation in high-risk patients has been recently reported.

Conclusions:

  • Transcatheter mitral valved stent implantation is a promising alternative for patients with severe mitral regurgitation who are not candidates for surgery.
  • This approach may offer significant benefits, similar to TAVI, for high-risk patient populations.