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Related Concept Videos

Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

87
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...
87
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

87
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 Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

66
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...
66
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

105
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...
105
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

58
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...
58
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...
93

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Updated: Oct 26, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Mitral Valve Replacement with Total Chordal Preservation: The Eversion Technique.

Chandra Prakash Srivastava1, Ranajit B Naik1

  • 1Cardiothoracic Surgery, Narayana Multispeciality Hospital, Jaipur, Jaipur, IND.

Cureus
|August 2, 2021
PubMed
Summary
This summary is machine-generated.

Preserving mitral valve subvalvular structures during replacement surgery is crucial for left ventricular function. A novel eversion technique retains all mitral valve tissue, preventing prosthetic valve mismatch and maintaining cardiac geometry.

Keywords:
eversion techniquemitral valve insufficiencymitral valve stenosistotal chordal preservationvalve replacement

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Repair
  • Left Ventricular Remodeling

Background:

  • Mitral valve replacement necessitates preserving the subvalvular apparatus to maintain left ventricular geometry and function.
  • Existing chordal preservation methods present challenges, with some techniques only preserving posterior chordal attachments due to concerns about patient-prosthetic valve mismatch.

Purpose of the Study:

  • To present a straightforward eversion technique for preserving both mitral valve leaflets and chordal attachments during valve replacement.
  • To offer an alternative method that retains all mitral valvular and subvalvular tissue, mitigating concerns of prosthetic valve mismatch.

Main Methods:

  • A novel eversion technique is described for mitral valve replacement.
  • Excised mitral leaflet ends are everted using valve sutures.
  • This method ensures retention of all mitral valvular and subvalvular tissue.

Main Results:

  • The described eversion technique successfully preserves all mitral valvular and subvalvular tissue.
  • This approach avoids interference between the native tissue remnants and the prosthetic valve leaflets.
  • Potential for improved left ventricular function post-mitral valve replacement.

Conclusions:

  • The simple eversion technique is effective for preserving mitral valve leaflets and chordal attachments during replacement.
  • This method addresses concerns regarding patient-prosthetic valve mismatch.
  • It offers a valuable approach to maintaining left ventricular geometry and function after mitral valve surgery.