Echocardiographic Evaluation of Primary Mitral Regurgitation
|
|
|
- Howard Nicholson
- 6 years ago
- Views:
Transcription
1 Echocardiographic Evaluation of Primary Mitral Regurgitation Roberto M Lang, MD 0-10 o ME 4CH Med A2 P2
2 50-70 o Commissural P3 P1 A2
3 o ME 2CH P3 A2 A1 A o - ME Long axis P2 A2
4 P3 A3 P2 A2 A1 P1 MV: 3D Ao AC (Lat) PC (Med) A1 P1 A2 P2 A3 P3
5 Surgeon s View of the MV Lang RM, Tsang W, Weinert L, Mor-Avi V, Chandra S. J Am Coll Cardiol 2011 November 1;5 8(19): Identify the culprit scallop
6 Case#1: Identify the prolapsing scallop Ant vs Post 0 0 Case# 1: Identify the prolapsing scallop P3 vs A2 vs P1 60 0
7 Case# 1: Identify the prolapsing scallop (P1) P1 Case# 2: Identify the prolapsing scallop Ant vs Post 0 0
8 Case# 2: Identify the prolapsing scallop 0 0 Case# 2: Identify the prolapsing scallop P2 60 0
9 Case# 2: Identify the prolapsing scallop Case# 3: Identify the prolapsing scallop
10 Case #3: Identify the prolapsing scallop 60 0 Case# 3: Identify the prolapsing scallop
11 Case# 3: Identify the prolapsing scallop Case# 4: Identify the prolapsing scallop 0 0
12 Case# 4: Identify the Ant prolapsing vs Post scallop 0 0 Case# 4: Identify the prolapsing scallop 80 0
13 Case# 4: Identify P2 - Prolapse the prolapsing scallop P3-P2 Case# 5: Identify the prolapsing scallop Ant vs Post 0 0
14 Case# 5: Identify the prolapsing scallop Ant vs Post 0 0 Case# 5: Identify the prolapsing scallop P3
15 Case# 5: Identify the prolapsing scallop P3 Case# 5: Identify the prolapsing scallop P3 flail, P2 prolapse
16 1953- The Technique is born The Mitre typically worn by popes and cardinals is depicted along side a cross-sectional image of the MV. Andreas Vesalius, father of anatomy, noted the striking similarities between the two. Andreas Vesalius De Humani Corporis Fabrica 1543
17 Matrix TEE Probe: 2007 MTEE Sugeng L, Shernan SK, Salgo IS, Weinert L, Shook D, Raman J, Jeevanandam V, DuPont F, Settlemier S, Savord B, Fox J, Mor- Avi V, Lang RM. J Am Coll Cardiol 2008 August 5;52(6): Surgeon s View of the MV Lang RM, Tsang W, Weinert L, Mor-Avi V, Chandra S. J Am Coll Cardiol 2011 November 1;5 8(19):
18 Commissures Coaptation Zone
19 Primary, Secondary and Tertiary Chordae Clinical Anatomy 22:85-98 (2009) Classification Schemes CL CL A1 A2 A3 A1 A2 CM P1 P3 P1 P2 P2 PM1 PM2 CM CL A1 A A3 2 L A 2 M CM P1 P3 P 2 L P 2 M Carpentier modified Duran modified Carpentier
20 Effect of Annular Shape on Leaflet Curvature in Reducing Mitral Leaflet Stress Salgo I et al Circulation 2002; 106: MV Leaflet Stress [Caiani and Votta,
21 MV Parametric Maps Tsang W, Lang RM., J Am Soc Echocardiogr 2011;24:860-7.
22 Carpentier s Functional Classification Type I: Normal Leaflet Motion
23 Type I: Normal Leaflet Motion Type II: Degenerative MV Disease Excess Tissue FED FED+ Form Fruste Barlow s
24 Degenerative MV Disease A B C Prolapse: Free edge of the leaflet above the plane of the annulus at end-systole. Disruption of coaptation. Billowing: Systolic protrusion of leaflet body above the annulus plane Free leaflet edge remaining at or below the annular plane during end-systole Lang RM, Tsang W, Weinert L, Mor-Avi V, Chandra S. J Am Coll Cardiol 2011 November 1;5 8(19): D Definition for Billowing and Prolapse Defect in the CL Prolapse extending to CL Intact CL Leaflet edge LA side of the annulus Leaflet edge at/below annular plane Prolapse Billowing Addetia K, Lang RM et. al. J Am Soc Echocardiogr Jan;27(1):8-16
25 Type II: Fibroelastic Deficiency Etiology (cause): fibroelastic deficiency Lesions (result of the disease): chordal elongation and/or rupture, annular dilatation Leaflet dysfunction (which result from the lesions): Type II = excess motion of the margins of the leaflets in relation to the annular plane Older individuals Short Hx of MR Type II: Fibroelastic Deficiency Older individuals Short Hx of MR Rupture or elongation of a single chord Remaining segments are normal Posterior annulus may be dilated
26 Type II: Fibroelastic Deficiency P2 - Prolapse Fibroelastic Deficiency Flail MV: Ruptured chords Chandra S,. Circ Cardiovasc Imaging 2011 January; 4(1):24-32.
27 Type II: Fibroelastic Deficiency Type II: Fibroelastic Deficiency Flail MV: Ruptured chords
28 Type II: Barlow s Prolapse Case History 42year-old woman who complains of decreased exercise capacity of recent duration. Type II: Barlow s Prolapse Excess leaflet tissue with billowing, thickened leaflets and chordae, large annulus
29 Barlow s Prolapse Fibroelastic Deficiency vs. Barlow Disease Carpentier et.al. J Thorac Cardiovasc Surg 1980 Age at diagnosis >60 years <60 years History of MR <5 years >10 years Annular Dilatation <32 mm >36 mm Leaflet Tissue Thin and transparent without excess tissue Thickened with diffuse excess tissue Segmental Distribution Usually single segment Multisegmental Chordae Thin and ruptured Irregular and elongated
30 Differential Diagnosis Barlow Billowing height > 1.0 mm Normal FED Billowing Volume > 1.2 ml Chandra S, Lang RM et al., Circ Imaging 2011: 4(1):24-32 Carpentier Correction Leaflet resection (reduction in MV area) Rigid or semi-rigid annuloplast ring (distortion of the subvalvular chordae)
31 American Correction Mitral Valve not resected Full flexible ring Artificial chordae Standard Repair No or single leaflet resection Sliding-plasty Cleft Closure Chordal or commissural repair techniques Complex Repairs Bi-leaflet repair techniques Multiple resections required Patch augmentation Prediction of Complexity of MV Repair Multisegment Involvement Anterior Leaflet Prolapse Scarcity of leaflet tissue Severe Calcification Prolapsing Height Annular Dilatation > 50 mm European Journal of Cardio-Thoracic Surgery 2012;41: Lang RM et al. J Am Coll Cardiol 2011
32 Anterior Leaflet Prolapse Barlows Prolapse Medial Commissure P2 Flail
33 Sub-Mitral Apparatus Mid-esophageal Transgastric Obase and Lang RM, J AM Soc Echocardiogr 2015;28: Functional MR Veronesi F, Lang RM et al., J Am Soc Echocardiogr 2008; 21(4):
34 Challenging the Hemispheric Assumption of Flow Convergence CC AP P3 P1 A2 P2 A2 A3 P3 A2 P2 A1 P1 Promises and Perspectives Valves Where have we been? Rapid dissemination and integration into clinical practice Mechanistic insight into MV disease Volumetric quantification Guidance of percutaneous procedures Where are we going? Quantification of regurgitant lesions Automation measurements Outcome measures Custom prosthesis (printing) Other valves (Aortic, Tricuspid)
35 Carpentier s Functional Classification Normal Leaflet Excess Leaflet Restricted Restricted motion motion Opening Closure IIIa IIIb
Valve Analysis and Pathoanatomy: THE MITRAL VALVE
: THE MITRAL VALVE Marc R. Moon, M.D. John M. Shoenberg Chair in CV Disease Chief, Cardiac Surgery Washington University School of Medicine, St. Louis, MO Secretary, American Association for Thoracic Surgery
Overview of Surgical Approach to Mitral Valve Disease : Why Repair? Steven F. Bolling, MD Cardiac Surgery University of Michigan
Overview of Surgical Approach to Mitral Valve Disease : Why Repair? Steven F. Bolling, MD Cardiac Surgery University of Michigan Degenerative MR is not Functional MR 2o - Functional MR : Ventricular Problem!!
Surgical Repair of the Mitral Valve Presenter: Graham McCrystal Cardiothoracic Surgeon Christchurch Public Hospital
Mitral Valve Surgical intervention Graham McCrystal Chairs: Rajesh Nair & Gerard Wilkins Surgical Repair of the Mitral Valve Presenter: Graham McCrystal Cardiothoracic Surgeon Christchurch Public Hospital
Posterior leaflet prolapse is the most common lesion seen
Techniques for Repairing Posterior Leaflet Prolapse of the Mitral Valve Robin Varghese, MD, MS, and David H. Adams, MD Posterior leaflet prolapse is the most common lesion seen in degenerative mitral valve
Historical perspective R1 黃維立
Degenerative mitral valve disease refers to a spectrum of conditions in which morphologic changes in the connective tissue of the mitral valve cause structural lesions that prevent normal function of the
When Does 3D Echo Make A Difference?
When Does 3D Echo Make A Difference? Wendy Tsang, MD, SM Assistant Professor, University of Toronto Toronto General Hospital, University Health Network 1 Practical Applications of 3D Echocardiography Recommended
Outcomes of Mitral Valve Repair for Mitral Regurgitation Due to Degenerative Disease
Outcomes of Mitral Valve Repair for Mitral Regurgitation Due to Degenerative Disease TIRONE E. DAVID, MD ; SEMIN THORAC CARDIOVASC SURG 19:116-120c 2007 ELSEVIER INC. PRESENTED BY INTERN 許士盟 Mitral valve
Χειρουργική Αντιμετώπιση της Ανεπάρκειας της Μιτροειδούς Βαλβίδας
Χειρουργική Αντιμετώπιση της Ανεπάρκειας της Μιτροειδούς Βαλβίδας Dr Χρήστος ΑΛΕΞΙΟΥ MD, PhD, FRCS(Glasgow), FRCS(CTh), CCST(UK) Consultant Cardiothoracic Surgeon Normal Mitral Valve Function Mitral Regurgitation
8/31/2016. Mitraclip in Matthew Johnson, MD
Mitraclip in 2016 Matthew Johnson, MD 1 Abnormal Valve Function Valve Stenosis Obstruction to valve flow during that phase of the cardiac cycle when the valve is normally open. Hemodynamic hallmark - pressure
Basic principles of Rheumatic mitral valve Repair
Basic principles of Rheumatic mitral valve Repair Prof. Gebrine El Khoury, MD DEPARTMENT OF CARDIOVASCULAR AND THORACIC SURGERY ST. LUC HOSPITAL - BRUSSELS, BELGIUM 1 Rheumatic MV disease MV repair confers
Transoesophageal Echocardiographic Evaluation of the Mitral Valve
10.5005/jp-journals-10027-1018 REVIEW ARTICLE IJPUT Transoesophageal Echocardiographic Evaluation of the Mitral Valve Gary Lau, Ravi Hebballi ABSTRACT Transoesophageal echocardiography allows the precise
Part II: Fundamentals of 3D Echocardiography: Acquisition and Application
Part II: Fundamentals of 3D Echocardiography: Acquisition and Application Dr. Bruce Bollen 3D matrix array TEE probes provide options for both 2D and 3D imaging. Indeed, their utility in obtaining multiple
Conflict of Interests
New Approaches to Systolic Function: 4D Roberto M Lang, MD Conflict of Interests Philips Medical Imaging Research Grants Speakers bureau Advisory bureau Tomtec Research Grants Epsilon Research Grants 1
Primary Mitral Valve Disease: Natural History & Triggers for Intervention ACC Latin American Conference 2017
Disclosures: GE stock, Primary Mitral Valve Disease: Natural History & Triggers for Intervention ACC Latin American Conference 2017 Athena Poppas, MD FACC Past ACC Scientific Sessions Chair, ACC Board
Cases of mitral valve causing mitral regurgitation: the MV prolapse spectrum CASE
Cases of mitral valve causing mitral regurgitation: the MV prolapse spectrum Judy Hung, MD Cardiology Division Massachusetts General Hospital Boston, MA CASE Mr. M; 50 Year male presents to internist for
Organic mitral regurgitation
The best in heart valve disease Organic mitral regurgitation Ewa Szymczyk Department of Cardiology Medical University of Lodz, Poland I have nothing to declare Organic mitral regurgitation leaflet abnormality
The Key Questions in Mitral Valve Interventions. Where Are We in 2018?
The Key Questions in Mitral Valve Interventions Where Are We in 2018? Gilles D. DREYFUS, MD, FRCS, FESC Professor of Cardiothoracic Surgery 30 GIORNATE CARDIOLOGICHE TORINESI - OCT 2018 Are guidelines
Imaging MV. Jeroen J. Bax Leiden University Medical Center The Netherlands Davos, feb 2015
Imaging MV Jeroen J. Bax Leiden University Medical Center The Netherlands Davos, feb 2015 MV/MR: information needed on.. 1. MV anatomy 2. MR etiology - primary vs secondary 3. MR severity quantification
The Edge-to-Edge Technique f For Barlow's Disease
The Edge-to-Edge Technique f For Barlow's Disease Ottavio Alfieri, Michele De Bonis, Elisabetta Lapenna, Francesco Maisano, Lucia Torracca, Giovanni La Canna. Department of Cardiac Surgery, San Raffaele
ΔΙΑΔΕΡΜΙΚΗ ΑΝΤΙΜΕΤΩΠΙΣΗ ΔΟΜΙΚΩΝ ΠΑΘΗΣΕΩΝ: Ο ΡΟΛΟΣ ΤΗΣ ΑΠΕΙΚΟΝΙΣΗΣ ΣΤΟ ΑΙΜΟΔΥΝΑΜΙΚΟ ΕΡΓΑΣΤΗΡΙΟ ΣΤΗΝ ΤΟΠΟΘΕΤΗΣΗ MITRACLIP
ΔΙΑΔΕΡΜΙΚΗ ΑΝΤΙΜΕΤΩΠΙΣΗ ΔΟΜΙΚΩΝ ΠΑΘΗΣΕΩΝ: Ο ΡΟΛΟΣ ΤΗΣ ΑΠΕΙΚΟΝΙΣΗΣ ΣΤΟ ΑΙΜΟΔΥΝΑΜΙΚΟ ΕΡΓΑΣΤΗΡΙΟ ΣΤΗΝ ΤΟΠΟΘΕΤΗΣΗ MITRACLIP ΒΛΑΣΗΣ ΝΙΝΙΟΣ MD MRCP ΚΛΙΝΙΚΗ ΑΓΙΟΣ ΛΟΥΚΑΣ ΘΕΣΣΑΛΟΝΙΚΗ CONFLICT OF INTEREST PROCTOR
The clinical problem of atrioventricular valve regurgitation
Mitral Regurgitation in Congenital Heart Defects: Surgical Techniques for Reconstruction Richard G. Ohye Mitral valve regurgitation (MR) is an important source of morbidity and mortality worldwide. While
What echo measurements are key prior to MitraClip?
APHP CHU Bichat - Claude Bernard What echo measurements are key prior to MitraClip? Eric Brochet,MD Cardiology Department Hopital Bichat Paris France No disclosure Conflict of interest Case 69 y.o man
Σεμινάρια Ομάδων Εργασίας 2017 Ανεπάρκεια μιτροειδούς μυξωματώδους αιτιολογίας
Σεμινάρια Ομάδων Εργασίας 2017 Ανεπάρκεια μιτροειδούς μυξωματώδους αιτιολογίας Μυτάς Δημήτρης MD, PhD Επιμ Α ΕΣΥ Σισμανόγλειο Γενικό Νοσοκομείο Αττικής Δηλώνω υπεύθυνα ότι η παρούσα ομιλία δεν επιχορηγείται
JOINT MEETING 2 Tricuspid club Chairpersons: G. Athanassopoulos, A. Avgeropoulou, M. Khoury, G. Stavridis
JOINT MEETING 2 Tricuspid club Chairpersons: G. Athanassopoulos, A. Avgeropoulou, M. Khoury, G. Stavridis Similarities and differences in Tricuspid vs. Mitral Valve Anatomy and Imaging. Echo evaluation
Degenerative Mitral Regurgitation: Etiology and Natural History of Disease and Triggers for Intervention
Degenerative Mitral Regurgitation: Etiology and Natural History of Disease and Triggers for Intervention John N. Hamaty D.O. FACC, FACOI November 17 th 2017 I have no financial disclosures Primary Mitral
Failed Aortic Valve Repairs Lessons Learned
Failed Aortic Valve Repairs Lessons Learned A. Stephane Lambert, MD, FRCPC Munir Boodhwani, MD, MMSc, FRCSC University of Ottawa Heart Institute Ottawa Ontario No Disclosure Why do repairs fail? Basic
Rheumatic fever and rheumatic heart disease still remain a. The Rheumatic Mitral Valve and Repair Techniques in Children. Afksendiyos Kalangos
The Rheumatic Mitral Valve and Repair Techniques in Children Afksendiyos Kalangos The mitral valve is the most commonly affected valve in acute and chronic rheumatic heart disease in the first and second
Regurgitant Lesions. Bicol Hospital, Legazpi City, Philippines July Gregg S. Pressman MD, FACC, FASE Einstein Medical Center Philadelphia, USA
Regurgitant Lesions Bicol Hospital, Legazpi City, Philippines July 2016 Gregg S. Pressman MD, FACC, FASE Einstein Medical Center Philadelphia, USA Aortic Insufficiency Valve anatomy and function LVOT and
There is increasing acceptance of the value of reconstructing
Fleur de Lys Repair of Posterior Mitral Valve Leaflet Richard A. Hopkins, MD There is increasing acceptance of the value of reconstructing mitral valves and retaining the various components of the mitral
MITRAL REGURGITATION ECHO PARAMETERS TOOL
Comprehensive assessment of qualitative and quantitative parameters, along with the use of standardized nomenclature when reporting echocardiographic findings, helps to better define a patient s MR and
MITRAL VALVE PATHOLOGY WITH TRICUSPID REGURGITATION (AND PHT)
UNIVERSITY OF PADUA, SCHOOL OF MEDICINE Department of Cardiac,Thoracic and Vascular Sciences Padua, Italy MITRAL VALVE PATHOLOGY WITH TRICUSPID REGURGITATION (AND PHT) Luigi P. Badano**, MD, PhD, FESC,
Atrioventricular valve repair: The limits of operability
Atrioventricular valve repair: The limits of operability Francis Fynn-Thompson, MD Co-Director, Center for Airway Disorders Surgical Director, Pediatric Mechanical Support Program Surgical Director, Heart
Disclosure Statement of Financial Interest Saibal Kar, MD, FACC
MitraClip Therapy Saibal Kar, MD, FACC, FAHA, FSCAI Director of Interventional Cardiac Research Program Director, Interventional Cardiology Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA
THE FOLDING LEAFLET. Rafael García Fuster. Cardiac Surgery Department University General Hospital of Valencia
THE FOLDING LEAFLET Rafael García Fuster Cardiac Surgery Department University General Hospital of Valencia School of Medicine Catholic University of Valencia San Vicente Mártir SPAIN Carpentier s principles
Late secondary TR after left sided heart disease correction: is it predictibale and preventable
Late secondary TR after left sided heart disease correction: is it predictibale and preventable Gilles D. Dreyfus Professor of Cardiothoracic surgery Nath J, et al. JACC 2004 PREDICT Incidence of secondary
Really Less-Invasive Trans-apical Beating Heart Mitral Valve Repair: Which Patients?
Really Less-Invasive Trans-apical Beating Heart Mitral Valve Repair: Which Patients? David H. Adams, MD Cardiac Surgeon-in-Chief Mount Sinai Health System Marie Josée and Henry R. Kravis Professor and
MR echo case. N.Koutsogiannis Department of Cardiology University Hospital Of Patras
MR echo case N.Koutsogiannis Department of Cardiology University Hospital Of Patras Case A 35 years old male came to the echo lab for a third opinion for his valvulopathy. He reports a long standing MR
Routine MitraClip. Image Guidance Step by Step
Routine MitraClip Image Guidance Step by Step Douglas C. Shook, MD, FASE Director, Cardiothoracic Anesthesia Fellowship Director, Cardiac Interventional Anesthesia Department of Anesthesiology BRIGHAM
Mitral regurgitation represents a pathophysiological
Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images Objective Insight Into Complexity and Planning of Mitral Valve Repair
Three-dimensional echocardiography in the clinical world
Three-dimensional echocardiography in the clinical world Dr. JL Zamorano Director CV Institute University Clinic SC, Madrid Advantages of 3D. Spatial manipulation. Optimal alineation of structures. Views
Ischemic Mitral Regurgitation
Ischemic Mitral Regurgitation Jean-Louis J. Vanoverschelde, MD, PhD Université catholique de Louvain Brussels, Belgium Definition Ischemic mitral regurgitation is mitral regurgitation due to complications
Use of MitraClip Beyond Everest Criteria
Use of MitraClip Beyond Everest Criteria Takashi Matsumoto, MD Sendai Kousei Hospital Sendai, Japan No Disclosure of Financial Interest Introduction The efficacy and safety of the MitraClip therapy was
MitraClip in the ICCU: Which Patient will Benefit?
MitraClip in the ICCU: Which Patient will Benefit? DAVID MEERKIN STRUCTURAL A ND CONGENITAL HEART DISEASE UNIT SHAARE ZEDEK MEDICAL CENTER JERUSALEM Conflict of Interest No relevant disclosures Complex
Clinical Value of 3D Echo: Volumes and Valves
Clinical Value of 3D Echo: Volumes and Valves James D. Thomas, M.D., F.A.C.C. Cardiovascular Imaging Center Department of Cardiology Cleveland Clinic Foundation Cleveland, Ohio, USA Conflicts: None 3D2011:1
Επιδιόπθωζη μιηποειδικήρ ζςζκεςήρ ζε ππόπηωζη ή πήξη γλωσίνων. Βαζίλειορ Σασπεκίδηρ Επιμεληηήρ Β Καπδιολογίαρ Γ.Ν. Παπαγεωπγίος
Επιδιόπθωζη μιηποειδικήρ ζςζκεςήρ ζε ππόπηωζη ή πήξη γλωσίνων Βαζίλειορ Σασπεκίδηρ Επιμεληηήρ Β Καπδιολογίαρ Γ.Ν. Παπαγεωπγίος MV anatomy Otto C. NEJM 2001 Leaflets anatomy 2% of population Etiology Terminology
Conflict of Interests
The Left Ventricle: How Should We Quantify Its Size and Function; Is It Time for 3D in Everyone? Roberto M Lang, MD Conflict of Interests Philips Medical Imaging Research Grants Speakers bureau Advisory
Introduction. Aortic Valve. Outflow Tract and Aortic Valve Annulus
Chapter 1: Surgical anatomy of the aortic and mitral valves Jordan RH Hoffman MD, David A. Fullerton MD, FACC University of Colorado School of Medicine, Department of Surgery, Division of Cardiothoracic
Imaging to select patients for Transcatheter TV
Imaging to select patients for Transcatheter TV Jeroen J Bax Dept of Cardiology Leiden Univ Medical Center The Netherlands San Diego, february 2018 Research grants: Medtronic, Biotronik, Boston Scientific,
Indications and Late Results of Aortic Valve Repair
Indications and Late Results of Aortic Valve Repair Prof. Gebrine El Khoury Department of Cardiovascular and Thoracic Surgery Cliniques St. Luc Brussels, Belgium Aortic Valve Repair Question # 1 Can the
Percutaneous Mitral Valve Repair
Indiana Chapter of ACC November 15 th,2008 Percutaneous Mitral Valve Repair James B Hermiller, MD, FACC The Care Group, LLC St Vincent Hospital Indianapolis, IN Mechanisms of Mitral Regurgitation Mitral
MEMO 3D. The true reflection of the mitral annulus. Natural physiological 3D motion
MEMO 3D TM The true reflection of the mitral annulus Natural physiological 3D motion Imagine... if there was one annuloplasty ring that provided an optimal solution across the entire spectrum of mitral
MEMO 4D Reshaping Mitral Repair
MEMO 4D Reshaping Mitral Repair Designed to Best Support Your Technique MEMO 4D Reshaping Mitral Repair Innovation Starts at the Core Designed to Best Support Your Technique ReChord: Chordal Guide System
Outline. EuroScore II. Society of Thoracic Surgeons Score. EuroScore II
SURGICAL RISK IN VALVULAR HEART DISEASE: WHAT 2D AND 3D ECHO CAN TELL YOU AND WHAT THEY CAN'T Ernesto E Salcedo, MD Professor of Medicine University of Colorado School of Medicine Director of Echocardiography
Degenerative mitral valve disease is the leading cause of
Recurrence of Mitral Valve Regurgitation After Mitral Valve Repair in Degenerative Valve Disease Willem Flameng, MD, PhD; Paul Herijgers, MD, PhD; Kris Bogaerts, MSc Background Durability assessment of
What I Have Learned from 3D Imaging of Heart Valve Disease
What I Have Learned from 3D Imaging of Heart Valve Disease Rebecca T. Hahn, MD Director of Interventional Echocardiography Columbia University Core Lab Director for multiple tricuspid device trials for
Despite advances in our understanding of the pathophysiology
Suture Relocation of the Posterior Papillary Muscle in Ischemic Mitral Regurgitation Benjamin B. Peeler MD,* and Irving L. Kron MD,*, *Department of Cardiovascular Surgery, University of Virginia, Charlottesville,
Technical aspects of robotic posterior mitral valve leaflet repair
rt of Operative Techniques Technical aspects of robotic posterior mitral valve leaflet repair Hoda Javadikasgari, Rakesh M. Suri, Tomislav Mihaljevic, Stephanie Mick,. Marc Gillinov Department of Thoracic
Transthoracic Echocardiographic
Transthoracic Echocardiographic Findings of Mitral Regurgitation Caused by Commissural Prolapse 1 Hyue Mee Kim, 1 Kyung-Jin Kim, 1 Hyung-Kwan Kim*, 1 Jun-Bean Park, 2 Ho-Young Hwang, 3 Yeonyee E. Yoon,
Treatment of Inter-MitraClip Regurgitation Due to Posterior Leaflet Cleft by Use of The Amplatzer Vascular Plug II device
Volume 1, Issue 3 Case Report ISSN: 2572-9292 Treatment of Inter-MitraClip Regurgitation Due to Posterior Leaflet Cleft by Use of The Amplatzer Vascular Plug II device Neha M. Mantri, Gagan D. Singh, Thomas
How to assess ischaemic MR?
ESC 2012 How to assess ischaemic MR? Luc A. Pierard, MD, PhD, FESC, FACC Professor of Medicine Head, Department of Cardiology University Hospital Sart Tilman, Liège ESC 2012 No conflict of interest Luc
Basic Principles of Degenerative Mitral Valve Repair Technical Aspects and Results. Manuel Antunes Coimbra-Portugal
Basic Principles of Degenerative Mitral Valve Repair Technical Aspects and Results Manuel Antunes Coimbra-Portugal Repair for Degenerative Disease Adams D H et al. Eur Heart J 2010;31:1958-1966 Published
Chamber Quantitation Guidelines: What is New?
Chamber Quantitation Guidelines: What is New? Roberto M Lang, MD J AM Soc Echocardiogr 2005; 18:1440-1463 1 Approximately 10,000 citations iase in itune Cardiac Chamber Quantification: What is New? Database
Joseph E. Bavaria, M.D. Roberts Measy Professor and Vice Chief CardioVascular Surgery Director: Thoracic Aortic Surgery Program University of
Joseph E. Bavaria, M.D. Roberts Measy Professor and Vice Chief CardioVascular Surgery Director: Thoracic Aortic Surgery Program University of Pennsylvania, USA AVRS Philadelphia Sept 2016 Pictures courtesy
True morphology of mitral regurgitant flow assessed by three- dimensional transesophageal echocardiography
DOI: 10.1111/echo.13395 ORIGINAL INVESTIGATION True morphology of mitral regurgitant flow assessed by three- dimensional transesophageal echocardiography Martin Lombardero M.D. Ruth Henquin D.L.S.H.T.M.,
Transoesophageal echocardiography and decision making in valve surgery
Transoesophageal echocardiography and decision making in valve surgery Intraoperative evaluation of the surgical results in aortic valve / root surgery Catherine Szymanski Disclosures None Sino-tubular
Ο ΡΟΛΟΣ ΤΩΝ ΚΟΛΠΩΝ ΣΤΗ ΛΕΙΤΟΥΡΓΙΚΗ ΑΝΕΠΑΡΚΕΙΑ ΤΩΝ ΚΟΛΠΟΚΟΙΛΙΑΚΩΝ ΒΑΛΒΙΔΩΝ
Ο ΡΟΛΟΣ ΤΩΝ ΚΟΛΠΩΝ ΣΤΗ ΛΕΙΤΟΥΡΓΙΚΗ ΑΝΕΠΑΡΚΕΙΑ ΤΩΝ ΚΟΛΠΟΚΟΙΛΙΑΚΩΝ ΒΑΛΒΙΔΩΝ Ανδρέας Κατσαρός Καρδιολόγος Επιµ. Α Καρδιοχειρ/κών Τµηµάτων Γ.Ν.Α. Ιπποκράτειο ΚΑΜΙΑ ΣΥΓΚΡΟΥΣΗ ΣΥΜΦΕΡΟΝΤΩΝ ΑΝΑΦΟΡΙΚΑ ΜΕ ΤΗΝ ΠΑΡΟΥΣΙΑΣΗ
Accepted Manuscript. A Bad Trade: Mitral Regurgitation for Mitral Stenosis and Atrial Fibrillation
Accepted Manuscript A Bad Trade: Mitral Regurgitation for Mitral Stenosis and Atrial Fibrillation Marc Gillinov, MD, Per Wierup, MD, PhD, Stephanie Mick, MD PII: S0022-5223(18)32281-5 DOI: 10.1016/j.jtcvs.2018.08.036
Joseph E. Bavaria, M.D. Roberts Measy Professor and Vice Chief CardioVascular Surgery Director: Thoracic Aortic Surgery Program University of
Joseph E. Bavaria, M.D. Roberts Measy Professor and Vice Chief CardioVascular Surgery Director: Thoracic Aortic Surgery Program University of Pennsylvania, USA North American Valve Repair, Philadelphia
Since its introduction, 3-dimensional (3D) transesophageal
Controversies in Cardiovascular Medicine Is 3-Dimensional Echocardiography Essential for Intraoperative Assessment of Mitral Regurgitation? Three-dimensional Echocardiography Is Essential for Intraoperative
Anterior Mitral Leaflet Prolapse as a Primary Cause of Pure Rheumatic Mitral Insufficiency
Anterior Mitral Leaflet Prolapse as a Primary Cause of Pure Rheumatic Mitral Insufficiency Afksendiyos Kalangos, MD, PhD, Maurice Beghetti, MD, Dominique Vala, MD, Edgar Jaeggi, MD, Gürkan Kaya, MD, Vildan
Echo in Asymptomatic Mitral and Aortic Regurgitation
2017 ASE Florida Orlando, FL October 9, 2017 10:40 11:00 PM 20 min Grand Harbor Ballroom South Echo in Asymptomatic Mitral and Aortic Regurgitation Muhamed Sarić MD, PhD, MPA Director of Noninvasive Cardiology
Balloon mitral valvuloplasty
Echo for selecting and monitoring procedures in mitral valve diseases Balloon mitral valvuloplasty Eric Brochet,MD Cardiology Department Hôpital Bichat. Paris France Conflict of interest : none Balloon
DEVELOPMENT OF A CRYO-ANCHORING AND RADIOFREQUENCY ABLATION CATHETER FOR PERCUTANEOUS TREATMENT OF MITRAL VALVE PROLAPSE. Steven Michael Boronyak
DEVELOPMENT OF A CRYO-ANCHORING AND RADIOFREQUENCY ABLATION CATHETER FOR PERCUTANEOUS TREATMENT OF MITRAL VALVE PROLAPSE By Steven Michael Boronyak Dissertation Submitted to the Faculty of the Graduate
EVALUATION OF CHRONIC MITRAL REGURGITATION: ASSESSING MECHANISMS AND QUANTIFYING SEVERITY 2018 STRUCTURAL HEART DISEASE CONFERENCE June 1, 2018
1 EVALUATION OF CHRONIC MITRAL REGURGITATION: ASSESSING MECHANISMS AND QUANTIFYING SEVERITY 2018 STRUCTURAL HEART DISEASE CONFERENCE June 1, 2018 David A. Orsinelli, MD, FACC, FASE Professor, Internal
ICE: Echo Core Lab-CRF
APPENDIX 1 ICE: Echo Core Lab-CRF Study #: - Pt Initials: 1. Date of study: / / D D M M M Y Y Y Y 2. Type of Study: TTE TEE 3. Quality of Study: Poor Moderate Excellent Ejection Fraction 4. Ejection Fraction
Management of Incomplete Initial Repair in the Treatment of Degenerative Mitral Insufficiency An Institutional Protocol and Mid-Term Outcomes
CLINICAL STUDY Management of Incomplete Initial Repair in the Treatment of Degenerative Mitral Insufficiency An Institutional Protocol and Mid-Term Outcomes Wenrui Ma, 1 MD, Wei Shi, 1 MD, Wei Zhang, 1
Astrid Apor 1, Anikó Ilona Nagy 1*, Attila Kovács 1, Aristomenis Manouras 2, Péter Andrássy 3 and Béla Merkely 1
Apor et al. Cardiovascular Ultrasound (2016) 14:32 DOI 10.1186/s12947-016-0073-4 RESEARCH Three-dimensional dynamic morphology of the mitral valve in different forms of mitral valve prolapse potential
Milind Desai Christine Jellis Teerapat Yingchoncharoen Editors. An Atlas of Mitral Valve Imaging
Milind Desai Editors An Atlas of Mitral Valve Imaging 123 An Atlas of Mitral Valve Imaging Milind Desai Editors An Atlas of Mitral Valve Imaging Editors Milind Desai Department of Cardiovascular Medicine
Quality Outcomes Mitral Valve Repair
Quality Outcomes Mitral Valve Repair Moving Beyond Reoperation Rakesh M. Suri, D.Phil. Professor of Surgery 2015 MFMER 3431548-1 Disclosure Mayo Clinic Division of Cardiovascular Surgery Research funding
ready to repair product brochure PERFORMANCE INNOVATION DESIGN mitral solutions
ready to repair PERFORMANCE INNOVATION DESIGN mitral solutions product brochure a 45-year long history of innovative records in cardiac surgery Carbofilm Sorin Group's relentless commitment to providing
Myxomatous degeneration of the mitral valve is the
CARDIOVASCULAR Midterm Results of the Edge-to-Edge Technique for Complex Mitral Valve Repair Derek R. Brinster, MD, Daniel Unic, MD, Michael N. D Ambra, MD, Nadia Nathan, MD, and Lawrence H. Cohn, MD Division
Review Article. Three Dimensional Echocardiography in Mitral Valve Disease. Shantanu Sengupta*
Review Article Vidarbha Journal of Internal Medicine Volume 17 July 2014 Three Dimensional Echocardiography in Mitral Valve Disease Shantanu Sengupta* ABSTRACT Three-dimensional echocardiography (3DE)
Professors Carpentier and McGoon Mechanism, resulting from the disease Severity of regurgitation, resulting from the mechanism Echo
Professors Carpentier and McGoon Mechanism, resulting from the disease Severity of regurgitation, resulting from the mechanism Echo define the mechanism, quantify the regurgitation severity CP1293058-3
Influence of Chronic Tethering of the Mitral Valve on Mitral Leaflet Size and Coaptation in Functional Mitral Regurgitation
JACC: CARDIOVASCULAR IMAGING VOL. 5, NO. 4, BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 1936-878X/$36.00 PUBLISHED BY ELSEVIER INC. DOI:./j.jcmg.11..004 ORIGINAL RESEARCH Influence of Chronic
Techniques for ischemic mitral valve disease: An Update. Stanford CV Surgery
Techniques for ischemic mitral valve disease: An Update Conflict of Interest Disclosure Grant/ Research Support: NHLBI RO1 HL67025 Consulting Fees/Honoraria: Stanford PI PARTNER Trial, Edwards Lifesciences
10 ο ΣΥΝΕΔΡΙΟ ΕΠΕΜΒΑΤΙΚΗΣ ΚΑΡΔΙΟΛΟΓΙΑΣ ΚΑΙ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΑΣ Σεπτεμβρίου 2017 Electra Palace Θεσσαλονικη
10 ο ΣΥΝΕΔΡΙΟ ΕΠΕΜΒΑΤΙΚΗΣ ΚΑΡΔΙΟΛΟΓΙΑΣ ΚΑΙ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΑΣ 14-16 Σεπτεμβρίου 2017 Electra Palace Θεσσαλονικη Ηχωκαρδιογραφία στην ένδειξη-προετοιμασία, διενέργεια, παρακολούθηση ασθενών που υποβάλλονται
Eva Maria Delmo Walter Takeshi Komoda Roland Hetzer
Surgical repair of the congenitally malformed mitral valve leaflets in infants and children Eva Maria Delmo Walter Takeshi Komoda Roland Hetzer Deutsches Herzzentrum Berlin Germany Background and Objective
2/7/2018. Minimally-invasive Mitral Valve surgery at NYU
Department of Cardiothoracic Surgery Mitral Valve Surgery in the 21 st Century Eugene Grossi, MD SB Colvin Professor of Cardiothoracic Surgery Didier Loulmet, MD Director of Robotic Surgery NYU 22nd Annual
Advanced Mitral Valve Therapies
Advanced Mitral Valve Therapies Mahesh Ramchandani MD, FRCS Chief, Section of Cardiac Surgery A Largely Untreated Patient Population Mitral Regurgitation 2009 U.S. Prevalence Total MR Patients 1,2 4,100,000
Mitral leaflet anatomy revisited
Mitral leaflet anatomy revisited Jason L. Quill, BS, a Alexander J. Hill, PhD, b Timothy G. Laske, PhD, b Ottavio Alfieri, MD, c and Paul A. Iaizzo, PhD a Objective: The aims of this work were to employ
Chordae replacement versus leaflet resection in minimally invasive mitral valve repair
Perspective Chordae replacement versus leaflet resection in minimally invasive mitral valve repair Tomas Holubec, Simon H. Sündermann, Stephan Jacobs, Volkmar Falk Division of Cardiovascular Surgery, University
Mitral Valve Disease, When to Intervene
Mitral Valve Disease, When to Intervene Swedish Heart and Vascular Institute Ming Zhang MD PhD Interventional Cardiology Structure Heart Disease Conflict of Interest None Current ACC/AHA guideline Stages
Tayyar Gökdeniz, Emre Ertürk, M. Ali Astarcıoğlu, Sabahattin Gündüz, A. Çağrı Aykan, A. Emrah Oğuz, Zübeyde Bayram, Mustafa Yıldız, N.
Tayyar Gökdeniz, Emre Ertürk, M. Ali Astarcıoğlu, Sabahattin Gündüz, A. Çağrı Aykan, A. Emrah Oğuz, Zübeyde Bayram, Mustafa Yıldız, N. Ekşi Duran, Mehmet Özkan Introduction The incidence of development
Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25-year experience
Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25-year experience Tirone E. David, MD, Susan Armstrong, MSc, and Joan Ivanov, PhD Objective: The study objective was
Reshape/Coapt: do we need more? Prof. J Zamorano Head of Cardiology University Hospital Ramon y Cajal, Madrid
Reshape/Coapt: do we need more? Prof. J Zamorano Head of Cardiology University Hospital Ramon y Cajal, Madrid Patient records 76 y.o. male Hypertension. Dyslipidemia. OPLD. Smoked in the past. Diabetes
Current concepts in mitral valve prolapse Diagnosis and management
Journal of Cardiology (2010) 56, 125 133 available at www.sciencedirect.com journal homepage: www.elsevier.com/locate/jjcc Review Current concepts in mitral valve prolapse Diagnosis and management Pravin
Aortic valve repair: When and how to employ this novel approach?
Aortic valve repair: When and how to employ this novel approach? Konstadinos A Plestis, MD System Chief of Cardiac Thoracic and Vascular Surgery Main Line Health Care System Professor Sidney Kimmel Medical
Recurrent mitral regurgitation after repair: Should the mitral valve be re-repaired?
Surgery for Acquired Cardiovascular Disease Recurrent mitral regurgitation after repair: Should the mitral valve be re-repaired? Rakesh M. Suri, MD, DPhil, Hartzell V. Schaff, MD, Joseph A. Dearani, MD,
A complexity scoring system for degenerative mitral valve repair
UIRED: MITRAL VALVE A complexity scoring system for degenerative mitral valve repair Anelechi C. Anyanwu, MD, Shinobu Itagaki, MD, Joanna Chikwe, MD, Ahmed El-Eshmawi, MD, and David H. Adams, MD ABSTRACT
Aortic Valve Repair: The Brussels Approach Laurent de Kerchove, MD, PhD Cliniques Universitaires St-Luc, IREC, UCL, Brussels, Belgium
Reconstruction of the Aortic Valve and Root: A Practical Approach September 14 th -16 th, Homburg/Saar, Germany Aortic Valve Repair: The Brussels Approach Laurent de Kerchove, MD, PhD Cliniques Universitaires