Related Experiment Video

Updated: Aug 11, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

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

Published on: October 16, 2021

3.8K

Adjuncts to annuloplasty in atrial functional mitral regurgitation

Anton Tomšič1, Tatiana Sequeira-Gross2, Christian Dumps3

  • 1Department of Cardiothoracic Surgery Leiden University Medical Center Albinusdreef 2 2333 ZA Leiden Netherlands.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|September 16, 2024
PubMed

Insights

Atrial fibrillation can cause mitral regurgitation, often treated with ring annuloplasty. However, this repair

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Biomedical Engineering

Background:

  • Atrial fibrillation (AF) is a common arrhythmia causing cardiac chamber dilation and functional mitral regurgitation (FMR).
  • Heart failure with preserved ejection fraction (HFpEF) is frequently associated with AF and FMR, complicating disease progression.
  • Current surgical repair for AF-related FMR involves true-sized ring annuloplasty, a standard but potentially suboptimal procedure.

Purpose of the Study:

  • To evaluate the durability of current surgical repair strategies for atrial functional mitral regurgitation.
  • To explore novel surgical approaches for improving the long-term efficacy of mitral valve repair in the context of atrial fibrillation.

Main Methods:

  • Review of existing literature on surgical interventions for atrial functional mitral regurgitation.
  • Analysis of recent studies investigating the long-term outcomes of ring annuloplasty.
  • Exploration of combined mitral valve and left ventricular surgical strategies.

Main Results:

  • While initial results of ring annuloplasty are favorable, long-term durability remains a concern.
  • Evidence suggests that current repair methods may not fully address the underlying pathophysiology of AF-related FMR.
  • Simultaneous targeting of the mitral valve and left ventricle shows promise for enhanced repair durability.

Conclusions:

  • Refinement of surgical strategies is necessary to improve the durability of mitral valve repair in atrial fibrillation.
  • Integrated approaches addressing both valvular and ventricular components may offer superior long-term outcomes for patients with AF-related FMR.

Keywords:
Atrial fibrillationMitral regurgitationMitral repairMitral valve repairSubannular repair

More Related Videos

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.4K
Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation07:28

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

330

Related Concept Videos

Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

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 tachycardia.
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

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

Mitral Stenosis II: Clinical features and Diagnostic Tests

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...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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...
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...