A normally functioning mitral valve should allow unimpeded blood flow into the left ventricle during diastole and should prevent backflow of blood into the. Estenosis mitral pura 20% estenosis mitral predominante 40% insuficiencia mitral pura 10% doble lesin mitral 10% insuficiencia mitral predominante 20%. Anatomy of the mitral valvular complex and its implications. Mitral regurgitation mr is the mostfrequent clinically recognizable valvular heart disease in the western world.
Antithrombotic therapy in valvular heart disease native and prosthetic. The cove point foundation congenital heart resource center is the worlds largest resource for information on pediatric and adult congenital heart disease. Right panel shows restricted leaflet closure termed incomplete mitral leaflet closure. Cambio valvular mitral by maria paula otero ropero on prezi. Percutaneous mitral balloon valvotomy is effective for symptomatic patients nyha functional class ii, iii, or iv, with moderate or severe ms and valve morphology favorable for percutaneous mitral balloon valvotomy in the absence of left atrial thrombus or moderate to severe mr. Progress in the treatment of severe mitral regurgitation. Realtime 3d color doppler image showing the mitral bioprosthetic valve and the turbulent jet of mitral paravalvular regurgitation in similar orientation as 1b bioprosthesis yellow arrow, pvl dashed red arrow see video 2. Effect of pimobendan on echocardiographic values in dogs with asymptomatic mitral valve disease. Guidelines for the diagnosis and treatment of canine chronic valvular heart disease. Prosthesispatient mismatch after mitral valve replacement.
A variety of deviceoriented transcatheter strategies have evolved in recent years. Pdf reparacion valvular mitral en insuficiencia mitral. Valvular insufficiency definition of valvular insufficiency. Surgical management of ischemic mitral regurgitation. Mitral annuloplasty mitral annuloplasty plays an important role in maintaining longterm durability after mitral valve repair. Aug 17, 2010 a variety of deviceoriented transcatheter strategies have evolved in recent years. Chauvaud s, waldmann t, dattellis n, bruneval p, aca c, gerota j, et al. Nov 21, 2016 vegetacion mitral o endocarditis infecciosa o mas frecuente en pacientes en enfermedad reumatica, prolapso valvular mitral o protesis mitral. Percutaneous closure of mitral paravalvular leak american. Anillo valvular mitral velos mitrales cuerdas tendinosas musculos papilares miocardio auricular y ventricular. Reparacion valvular mitral en valvula mixoide youtube.
Mitral valve repair has been widely regarded as the optimal surgical procedure to treat mitral valve dysfunction of all etiologies and is currently the most commonly performed surgical procedure for mitral valve regurgitation in north america. Primary mitral valve prolapse mvp or the disease known as mvp, consists of mixomatous degeneration of the mitral valve with systolic displacement of a portion or all of one or both mitral leaflets beyond mitral annulus into left atrium during systole, associated or not with mitral insufficiency. Realtime 3d color doppler image showing the mitral bioprosthetic valve and the turbulent jet of mitral paravalvular regurgitation in similar orientation as 1b bioprosthesis yellow arrow, pvl. The purpose of the current study was to investigate incidence of ppm according to the different methods of calculating effective orifice area eoa, including the continuity equation ce, pressure half time pht method and use of reference eoa, and to compare these with. Vegetacion mitral endocarditis criterios mayores masa valvular oscilante absceso valvula protesica dehiscente criterios menores pseudoaneu risma infartos septicos 53. Georghiou gp, aspira y, drozd t, erez e, raanani e, vidne ba, et al. Homograft replacement of the mitral valve in young recipients. Percutaneous closure of mitral paravalvular leaks pvl has been demonstrated to be a safe and effective alternative to open surgical repair in selected patients with mitral paravalvular regurgitation 1,21. Degenerative, ischemic, rheumatic and infectious endocarditis processes are responsible for mitral valve disease in adults. Cambio valvular mitral con preservacion total del aparato valvular. Pdf mitral, aortic or mitralaortic valvular replacement. Pdf doble reemplazo valvular transaortico transaortic. The incidence of prosthesispatient mismatch ppm after mitral valve replacement mvr has been reported to vary.
Several mechanisms have been proposed, including abnormal tethering of the mitral valve by displacement of the papillary muscles in the ischemic territory and by annular dilatation. Two standard orthogonal views were used for lesion localization by fluoroscopy. Su valvula ha desarrollado una infeccion endocarditis infecciosa. Guidelines for the management of patients with valvular heart. Michelena hi, bichara vm, margaryan e, forde i, topilsky y, suri r, enriquezsarano m. Comparison between percutaneous balloon valvuloplasty and open commissurotomy for mitral stenosis. Download fulltext pdf doble reemplazo valvular transaortico transaortic double valve replacement article pdf available in cirugia cardiovascular 214. Valvuloplasty in moderate to severe mitral stenosis over valve replacement, according. Download as ppt, pdf, txt or read online from scribd. Pdf cambio valvular mitral con preservacion total del. Insuficiencia mitral how is insuficiencia mitral abbreviated.
Successful pvl closure depends on accurate localization of the site of regurgitation. Cove point contains comprehensive information on all congenital heart defects, including atrial septal defect asd, ventricular septal defect vsd, hypoplastic left heart syndrome hlhs, and tetralogy of fallot tof. Breda,1 murilo macedo, 1carolina baeta, jose augusto marcondes,1 jose honorio palma, 1enio. Efficacy of spironolactone on survival in dogs with naturally occurring mitral regurgitation caused by myxomatous mitral valve disease. Operative mitral and tricuspid valve surgery pdf e. Reparacion valvular mitral en insuficiencia mitral degenerativa. The purpose of the current study was to investigate incidence of ppm according to the different methods of calculating effective orifice area eoa, including the continuity equation ce, pressure half time pht method and use of reference eoa, and to.