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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 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 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...
87
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

93
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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Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

50
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...
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Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

78
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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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Caged-Ball Mitral Prosthesis Explanted After 50 Years.

Paolo Masiello1, Rodolfo Citro2, Generoso Mastrogiovanni1

  • 1Emergency Cardiac Surgery Unit, Cardio-Thorax-Vascular Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.

JACC. Case Reports
|July 28, 2021
PubMed
Summary
This summary is machine-generated.

A Starr-Edwards mitral valve prosthesis functioned for 50 years, the longest reported duration without dysfunction. This cloth-covered mechanical valve was successfully explanted and replaced, alongside aortic valve replacement and tricuspid annuloplasty.

Keywords:
INR, international normalized ratioaortic valveechocardiographymitral valve

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Biomedical Engineering

Background:

  • Mechanical heart valves are crucial for treating valvular heart disease.
  • The Starr-Edwards prosthesis, particularly the cloth-covered model 6310, has a long history of use.
  • Long-term durability of prosthetic valves is a key concern in cardiac surgery.

Observation:

  • A Starr-Edwards prosthesis (model 6310, cloth covered) was implanted in the mitral position.
  • The prosthesis remained functional for an unprecedented 50 years.
  • The patient underwent successful explantation and replacement of the mitral prosthesis.

Findings:

  • This case represents the longest documented period of functional success for a Starr-Edwards mechanical heart valve.
  • The explanted prosthesis showed minimal signs of wear or dysfunction after 50 years of service.
  • The reoperation also involved replacement of the native aortic valve and tricuspid valve annuloplasty.

Implications:

  • This case highlights the exceptional longevity and durability of specific mechanical heart valve designs.
  • It provides valuable insights into the long-term performance of prosthetic devices in the cardiovascular system.
  • The findings support the consideration of long-term durable options in specific patient populations undergoing valve replacement surgery.