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Related Concept Videos

Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

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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...
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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

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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...
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Longitudinal Research02:20

Longitudinal Research

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Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
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Mismatch Repair01:36

Mismatch Repair

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Overview
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Anatomy of the Heart01:27

Anatomy of the Heart

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The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
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Related Experiment Video

Updated: Jan 31, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

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Changes in right ventricular longitudinal function: primary mitral and concomitant tricuspid valve repair.

Rasa Ordienė1, Paulius Orda1, Jolanta Justina Vaškelytė1

  • 11 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Perfusion
|January 1, 2019
PubMed
Summary

Concomitant tricuspid valve repair during mitral valve repair reduces right ventricular dimensions without negatively impacting function. This finding suggests a potentially beneficial approach for patients undergoing mitral valve surgery.

Keywords:
2D myocardial strain imagingconcomitant tricuspid valve repairmitral regurgitationprimary mitral repairright ventricular function

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Echocardiography

Background:

  • Degenerative mitral valve (MV) prolapse is a common condition requiring surgical intervention.
  • Right ventricular (RV) function is crucial for overall cardiac health post-MV repair.
  • The impact of concomitant tricuspid valve (TV) repair on RV function remains an area of investigation.

Purpose of the Study:

  • To evaluate the effect of concurrent tricuspid valve (TV) repair on right ventricular (RV) function after degenerative mitral valve (MV) repair.

Main Methods:

  • A prospective study of 37 patients with severe MV regurgitation.
  • Patients underwent either isolated MV repair (TV(-) group, n=19) or MV repair with TV repair (TV(+) group, n=18).
  • Two-dimensional speckle-tracking and tissue Doppler echocardiography assessed RV function preoperatively and at 7 days and 6 months postoperatively.

Main Results:

  • Preoperative RV dimensions and function were similar between groups.
  • The TV(+) group showed a more significant decrease in RV end-diastolic diameter (RVEDD) at 6 months compared to the TV(-) group.
  • RV systolic function indices showed early decreases followed by a tendency to improve at 6 months in both groups, with no significant difference between groups.

Conclusions:

  • Concomitant TV repair in degenerative MV repair patients leads to greater reduction in RV dimensions.
  • This combined approach does not appear to negatively impact RV systolic function compared to isolated MV repair.
  • Further studies with a control group are needed to confirm these findings.