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Mitral valve prolaps

Johanna Frida Gudmundsdottir, Sigurdur Ragnarsson, Arnar Geirsson, Ragnar Danielsen, Tomas Gudbjartsson
OBJECTIVES: To review, for the first time, the outcome of mitral valve repair operations in Iceland. MATERIAL AND METHODS: A retrospective study of all mitral valve repair patients (average age 64 yrs, 74% males) operated in Iceland 2001-2012. All 125 patients had mitral regurgitation; either due to degenerative disease (56%) or functional regurgitation (44%). Survival was estimated using the Kaplan-Meier method. The median follow-up time was 3.9 years RESULTS: The number repair-procedures increased from 39 during the first half of the study period to 86 during the latter period...
November 2014: Læknablađiđ
Christoph Langer, Thomas Butz, Klaus-Peter Mellwig, Emanoel Oepangat, Andreas Fruend, Lothar Faber, Dieter Horstkotte, Marcus Wiemer, Frank Van Buuren
BACKGROUND: Aortic or mitral valvular regurgitation (left cardiac valvular regurgitation, LCVR) of less than second-degree (< degree II) occasionally found in competitive athletes is of questionable relevance. Precisely detectable by echocardiography there is scarce published data that clarifies cardiopulmonary capacity or any limitations LCVR < degree ll may cause. METHODS: In this single-centre study we consecutively recruited highly trained athletes (n= 14) with LCVR < degree ll detected in 2D echo...
October 2013: Acta Cardiologica
Yang-feng Tang, Ji-bin Xu, Lin Han, Fang-lin Lu, Xi-long Lang, Zhi-gang Song, Zhi-yun Xu
BACKGROUND: Congenital quadricuspid aortic valve is rarely seen during aortic valve replacement (AVR). The diagnosis and treatment of the disease were reported in 11 cases. METHODS: Eleven patients (nine men and two women, mean age 33.4 years) with quadricuspid aortic valve were retrospectively evaluated. Medical records, echocardiograms and surgical treatment were reviewed. RESULTS: In accordance with the Hurwitz and Roberts classification, the patients were classified as type A (n = 2), type B (n = 7), type F (n = 1) and type G (n = 1)...
September 2011: Chinese Medical Journal
Thierry V Scohy, Christian Lüthen, Jackie McGhie, Frans Oei
A 61-year-old patient with the diagnosis of acute heart failure based on severe mitral valve insufficiency due to chordae rupture was scheduled for surgery. Intraoperatively, a standard two-dimensional transesophageal echocardiogram (2D-TEE) examination, revealed severe mitral valve regurgitation due to a prolaps with chordal rupture and an echo dense structure in the pulmonary artery (PA). Because it was not possible to visualize this echo dense structure fully with 2D-TEE we performed a three-dimensional transesophageal echocardiogram (3D-TEE)...
May 2011: Interactive Cardiovascular and Thoracic Surgery
E O Einarsson, R Danielsen, H Sigurdsson, E Stefansson
Marfan's syndrome is a heritable collagen disorder manifested by defects in the ocular, skeletal and cardiovascular systems. It is inherited as an autosomal dominant trait. The objectives of this study were to study the prevalence and clinical presentation of Marfan's syndrome in Iceland. We assessed the records of patients diagnosed with Marfan's syndrome during the years 1989-94 at all the major hospitals in Iceland. Hospital cardiologists, pediatricians and ophthalmologists gave valuable information, as did some general practitioners...
August 1996: Læknablađiđ
Ivan Malcić, Hrvoje Kniewald, Daniel Dilber, Zeljka Mustapić, Sanja Dorner
The study deals with the incidence and clinical significance of mitral valve prolapse in the population of outpatient pediatric cardiology patients in the time period from November 1999 to April 2004. The sample included 1187 children of both sexes, 688 of whom had a structural cardiac anomaly (57.9%), and the prolapse was diagnosed in 51 children (4.3%), largely female (f:m = 7.5:1). The average age at establishing diagnosis was 12.4 +/- 2.9 years (range 6-19 years). The children were followed 3.1 +/- 0.9 years (1-4 years of age)...
June 2007: Lijec̆nic̆ki Vjesnik
C Grünauer-Kloevekorn, G I Duncker
Keratoconus is a bilateral, non-inflammatory and progredient corneal ectasia with an incidence of approximately 1 per 2,000 in the general population. Within the second decade of life the cornea develops a conical shape, due to thinning of the corneal stroma with subsequent irregular astigmatism and myopia leading to marked impairment of vision. The most common presentation of the keratoconus is as a sporadic disorder, but it has long been recognized that a significant minority of patients exhibit a family history as an autosomal dominant mode of inheritance...
June 2006: Klinische Monatsblätter Für Augenheilkunde
I Steiner
The term acute aortic syndrome comprises in addition to classic dissection also two recently described entities--penetrating ulcer and intramural haematoma. Forty-two necropsy cases of acute aortic syndrome were encountered during the last six years--41 dissections and one penetrating ulcer; the intramural haematoma was not seen. According to the DeBakey classification, there were 26 dissections of type I, 8 of type II, 1 of type IIIA, and 4 of type IIIB; in 2 cases the dissection was confined to the abdominal aorta...
January 2005: Ceskoslovenská Patologie
Manfred Mauser, Peter Billmann, Bernhard Wiedemer, Jürgen Ennker, Dietrich Fleischmann
An unilateral or predominantly lobar pulmonary edema is an unusual clinical or radiological finding, often misdiagnosed as one of the more common causes of focal lung disease. We report 2 cases of a regional pulmonary edema caused by the acute onset of a severe mitral insufficiency after the rupture of chordae tendinae resulting in a prolaps of the posterior mitral leaflet. In both cases the regional pulmonary edema was initially misdiagnosed as a pneumonic infiltration, which delayed the cardiological diagnostical procedures and the surgical intervention...
2003: Röntgenpraxis; Zeitschrift Für Radiologische Technik
E Suchoń, P Podolec, W Tracz, T Przewłocki, P Wilkołek, A Kabłak-Ziembicka
Atrial septal defect (ASD) accounts for 30-40% of congenital heart disease in adults diagnosed after the age of 40 and is after bicuspid aortic valve and mitral-valve prolaps the most common congenital cardiac malformation in adults. We have discussed current views on the pathological role of ASD in adults and controversies regarding its treatment. It is expected that increasing understanding of ASD pathophysiology, improved diagnostic methods and the possibility of transcatheter closure of interatrial defects will improve the treatment of patients with ASD...
2001: Przegla̧d Lekarski
H Reichenspurner, D Boehm, B Reichart
Different techniques have been developed for the common goal to minimize surgical trauma for mitral valve surgery. This article focuses on Port-Access (Heartport, Inc, Redwood City, CA) mitral valve replacement or repair (PAMVR) with emphasis on three-dimensional video and robotic assistance. PAMVR was undertaken using a small right anterior minithoracotomy using an endovascular cardiopulmonary bypass (CPB) system. A three-dimensional minicamera allowed visualization of the mitral valve apparatus during this limited access surgery...
July 1999: Seminars in Thoracic and Cardiovascular Surgery
T Imazeki, Y Irie, Y Katayama, H Kiyama, N Murai, Y Sato, I Hata, H Yoshida, T Yamada
A 68-year-old man underwent mitral valve replacement because of mitral regurgitation (prolaps of anterior mitral leaflet) using parasternal incision (Delos M. Cosgrove, minimally invasive surgery). He had been treated as pulmonary tuberculosis previously and had undergone esophagus operation using stomach role reconstruction beneath the sternum four years before the mitral valve procedure. We could not select median-sternotomy as an approach due to stomach role beneath the sternum, nor left posterolateral thoracotomy because of the heavy left-side pleural adhesion...
March 1998: Kyobu Geka. the Japanese Journal of Thoracic Surgery
H Mast, H C Schumacher, H C Koennecke, A Hartmann, C Stapf, S Enchtuja, R Dissmann, K Schröder, H Völler, J L Thompson, P Marx
BACKGROUND AND PURPOSE: To test the association of cardiac sources of embolism with territorial type brain infarcts. METHODS: From a prospective cerebral ischemia data base the 106 consecutive patients with territorial type cerebral infarcts on computerized tomography were analyzed. The 85 consecutive patients with lacunar lesions served as a comparison group. The association of cardiac sources of embolism with territorial types infarcts was assessed using univariate Chi Square tests and logistic regression models...
February 1998: Der Nervenarzt
K Seidl, B Hauer, N Schwick, R Zahn, J Senges
Ventricular ectopic activity is commonly encountered in clinical practice. Usually it is not associated with life-threatening consequences in the absence of significant structural heart disease. However, frequent ventricular ectopic beats can be highly symptomatic and even incapacitating in some patients. Currently, reassurance and pharmacological therapy are the mainstays of treatment. This study assesses the useful role of catheter ablation in eliminating drug refractory monomorphic ventricular ectopic beats in severely symptomatic patients...
March 1997: Zeitschrift Für Kardiologie
J Zavrsnik, P Kokol, I Malèiae, K Kancler, M Mernik, M Bigec
Computerized information systems, especially decision support systems, have acquired an increasingly important role in medical applications, particularly in those where important decisions must be made effectively and reliably. But the possibility of using computers in medical decision making is limited by many difficulties, including the complexity of conventional computer languages, methodologies, and tools. Thus a conceptual simple decision making model with the possibility of automating learning should be used...
1995: Medinfo
P Kokol, M Mernik, J Zavrsnik, K Kancler, I Malcić
Computerized information systems, especially decision support systems, have become an increasingly important role in medical applications, particularly in those where important decision must be made effectively and reliably. But the possibility of using computers in medical decision making is limited by many difficulties, including the complexity of conventional computer languages, methodologies and tools. Thus a conceptual simple decision making model with the possibility of automating learning should be used...
August 1994: Journal of Medical Systems
H Blömer
Differential diagnosis of chest-pain as seen by the cardiologist consists of a broad spectrum from pericarditis, mitral valve prolaps to dissecting aneurysm which requires an urgent treatment. The main interest however concentrates on coronary heart disease which threatens the life of a patient with sudden death. Proper treatment in time--medically or surgically--is of greatest importance. Especially the anamnesis as obtained by proper questioning the patient gives the best results and leads to further investigations...
February 28, 1987: Wiener Medizinische Wochenschrift
K Simon, F Solti, P Sótonyi, F Rényi Vámos, T Vecsey, A Szelier
The case report of the 23 years old female with Kearn-Sayre syndrome started about 15 years ago has some special cardiological aspects. By His band ECG the height of III. degree atrioventricular block was located in the atrioventricular node which is in sharp contrast with all former findings localizing the block into or distal to His band. In the pathogenesis of the unexpected block localisation--besides the muscular degeneration accepted generally in KSS--the recent myocardial infarction of the patient could have a causal role...
February 19, 1989: Orvosi Hetilap
H Bergmann, F Leisch, W Herbinger
In a review, clinical, phonocardiographic and cardioangiographic findings in mitral valve prolaps syndrome are discussed. Echocardiography is recommended as a noninvasive screening method for the diagnosis of this syndrome.
1978: Acta Medica Austriaca
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