Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

499
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
499
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

345
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...
345
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

792
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...
792
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

906
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...
906
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

365
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
365
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

427
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...
427

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC): Prospective Cohort with its Nested Randomized Controlled Trial Provides an Example Distinguishing Causation From Association.

Annals of surgical oncology·2026
Same author

Assessing Vocational Rehabilitation Agency Capacity to Engage in Evidence-Based Decision Making.

Journal of vocational rehabilitation·2025
Same author

Comment on Pang et al. Ablative Techniques for Lung Metastases: Patient Selection and Outcomes Following Treatment with Stereotactic Radiotherapy or Radiofrequency Ablation. <i>Curr. Oncol.</i> 2025, <i>32</i>, 303.

Current oncology (Toronto, Ont.)·2025
Same author

Personalized External Aortic Root Support (PEARS) in the Treatment of Marfan Syndrome and Bicuspid Aortic Valve Aneurysms: First Case Series in the American Continent.

Brazilian journal of cardiovascular surgery·2025
Same author

Be mindful of survivorship bias in studies of Marfan aortic aneurysm.

The Journal of thoracic and cardiovascular surgery·2025
Same author

Letter Regarding: Surgical Resection of a Single Colorectal Lung Metastasis is Associated With Best Survival.

The Journal of surgical research·2025
Same journal

Feasibility of early double sequential defibrillation in out-of-hospital cardiac arrest: the double-D randomised pilot trial.

Heart (British Cardiac Society)·2026
Same journal

Correspondence on 'When a patent foramen ovale becomes pathological' by Saji and Ohara.

Heart (British Cardiac Society)·2026
Same journal

Cost-effectiveness of N-terminal pro-B-type natriuretic peptide thresholds for echocardiography referral in primary care heart failure management.

Heart (British Cardiac Society)·2026
Same journal

Optimal timing of aspirin discontinuation after acute coronary syndrome treated with percutaneous coronary intervention: a systematic review and meta-analysis.

Heart (British Cardiac Society)·2026
Same journal

Importance of rating: the impact of establishing age and sex normative values for left ventricular strain rate.

Heart (British Cardiac Society)·2026
Same journal

Man in his 40s with palpitations.

Heart (British Cardiac Society)·2026
See all related articles

Related Experiment Video

Updated: Feb 25, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.1K

Developing a shared decision support framework for aortic root surgery in Marfan syndrome.

Tom Treasure1, Annette King2, Loreto Hidalgo Lemp3

  • 1Operational Research Unit, Department of Mathematics, University College London, London, UK.

Heart (British Cardiac Society)
|August 7, 2017
PubMed
Summary
This summary is machine-generated.

Patients with Marfan syndrome value an active lifestyle and avoiding surgery delays. Their preferences, especially regarding childbearing and anticoagulation, differ from doctors, highlighting the need for shared decision-making in aortic root surgery.

Keywords:
aortic and arterial diseaseaortic surgerymarfan and associated disorders

More Related Videos

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.9K
Precision Ultrasound-guided Stem Cell Delivery for Vascular Repair in Aortic Diseases
04:59

Precision Ultrasound-guided Stem Cell Delivery for Vascular Repair in Aortic Diseases

Published on: June 20, 2025

839

Related Experiment Videos

Last Updated: Feb 25, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.1K
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.9K
Precision Ultrasound-guided Stem Cell Delivery for Vascular Repair in Aortic Diseases
04:59

Precision Ultrasound-guided Stem Cell Delivery for Vascular Repair in Aortic Diseases

Published on: June 20, 2025

839

Area of Science:

  • Cardiovascular Surgery
  • Medical Decision Making
  • Patient-Reported Outcomes

Background:

  • Marfan syndrome necessitates prophylactic aortic root surgery.
  • Previous research identified key decision implications for patients.
  • This study focuses on the values patients place on these implications.

Purpose of the Study:

  • To explore and quantify the relative values individuals place on the implications of decisions regarding prophylactic aortic root surgery for Marfan syndrome.
  • To inform the development of a decision support framework.

Main Methods:

  • Utilized the Ottawa Decision Support Framework principles.
  • Administered an online survey with eight "How important is it to you…" questions.
  • Collected quantitative and qualitative data from patients, families, and specialist doctors.

Main Results:

  • 142 responses were received, including 25 specialist doctors.
  • Males prioritized an active lifestyle more than females (p=0.03).
  • Patients valued avoiding surgery deferral (p=0.04) and anticoagulation for childbearing (p=0.009) more than doctors.
  • Qualitative data revealed polarized but reasoned values centered on quality of life and active lifestyle.

Conclusions:

  • Patient values regarding aortic root surgery are cogent and diverse.
  • Individuals anticipating surgery need opportunities to express and have their values acknowledged.
  • Shared decision-making, informed by patient values, is crucial, especially when they diverge from standard medical practice.