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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

386
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...
386
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

450
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...
450
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

856
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...
856
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

973
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...
973
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

480
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...
480
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

328
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...
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Related Experiment Video

Updated: Mar 2, 2026

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

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Transcatheter aortic valve insertion after previous mitral valve operation.

Kevin L Greason1, Gurpreet S Sandhu2, Vuyisile T Nkomo2

  • 1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.

The Journal of Thoracic and Cardiovascular Surgery
|May 10, 2017
PubMed
Summary

Transcatheter aortic valve insertion is safe and effective in patients with prior mitral valve surgery. This procedure offers good outcomes and should not be withheld based on previous mitral valve operations.

Keywords:
aortic stenosiscomplicationmitral valve repairmitral valve replacementtranscatheter aortic valve insertiontranscatheter aortic valve replacement

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Limited data exists on transcatheter aortic valve insertion (TAVI) following prior mitral valve operations.
  • Understanding procedural risks is crucial for patient selection and management.

Purpose of the Study:

  • To evaluate the safety and efficacy of TAVI in patients with a history of mitral valve surgery.
  • To assess procedural outcomes and long-term survival in this specific patient cohort.

Main Methods:

  • Retrospective review of 772 TAVI patients from November 2008 to August 2016.
  • Identified 18 patients (2%) with prior mitral valve repair or replacement.
  • Analyzed baseline characteristics, procedural details, and echocardiographic/survival follow-up.

Main Results:

  • Successful TAVI in all 18 patients, with no procedure-related mortality or acute mitral valve dysfunction.
  • Mean 1-year survival was 90.9%.
  • Effective valve function and gradients were observed post-procedure.

Conclusions:

  • TAVI is a safe and effective option for patients with previous mitral valve operations.
  • Procedure success is achievable with various devices and access methods.
  • Prior mitral valve surgery should not be an absolute contraindication for TAVI.