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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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Heart Valves01:16

Heart Valves

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The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

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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...
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Cardiovascular System Abnormal Findings II: Auscultation01:25

Cardiovascular System Abnormal Findings II: Auscultation

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Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
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Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

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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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Updated: Feb 22, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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接続が間違っている: 予期せぬコード内挿入によるバルブ故障

Catarina Novo1, Mariana Campos1, Paulo Neves1

  • 1Unidade Local de Saúde Gaia/Espinho,Vila Nova de Gaia, Portugal.

Portuguese journal of cardiac thoracic and vascular surgery
|February 20, 2026
PubMed
まとめ

重度のミトラル反発を引き起こす異常なコルダ・テンディネエの希少な症例は,手術による修復で成功裏に治療されました. この弁を節約する処置は,優れた結果をもたらし,患者の完全な回復をもたらしました.

科学分野:

  • 心血管外科手術についてです.
  • 心臓の解剖学 心臓の解剖学
  • バルブ性心疾患 バルブ性心疾患とは

背景:

  • 重度のミトラル吐は,心不全につながる可能性があります.
  • ミトラル弁の修復は,弁の保存を目的としています.
  • 異常な chordae tendineaeは,ミトラル弁の機能不全の珍しい原因である.

研究 の 目的:

  • ミトラル反吐を引き起こす変異性コルデ・テンディネエの希少な症例を報告します.
  • 矯正と弁の修復のための外科的テクニックを記述する.
  • バルブ保存の成功した臨床結果を強調するために.

主な方法:

  • トランストラシックエコーカルディオグラフィー (TTE) は,初期診断のためのものです.
  • 外科内検査と異常なホルダエの特定.
  • 異常なコーデの切除とネオコーデ (例えば,ゴーレ-テックス) による再構築.
  • ミトラアアンヌロプラスティのリングの配置.
  • 機能的評価のための手術内経食道回心エコー (TEE) です.

主要な成果:

  • 左心房壁に挿入した異常なコルダ・テンディネ (chordae tendineae) の特定.

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  • 異常なコルダの切除とネオコードによる再構築が成功しました.
  • ミトラアアンヌロプラスティリングの配置.
  • TEEによって確認された,最小限の残留吐と,優れたミトラル弁機能.
  • 術後回復と術後4日目の退院が起こらないこと 4.
  • 結論:

    • 不規則に挿入された帯状は極めて稀な発見です.
    • この状態は,重要なミトラル反発と心不全を引き起こす可能性があります.
    • 迅速な外科的認識と矯正は,弁の保存に成功し,優れた臨床結果をもたらすことができます.