"The authors have assembled an enlightening contribution to the fields of cardiac surgery and cardiology in their efforts to educate about this challenging disease. The audience includes practitioners involved in the treatment of patients with secondary mitral valve disease. ... It is a welcome addition to the discussion about this difficult disease." (Michael Bates, Doody's Book Reviews, March, 2015)
Prevalence
and definition of secondary mitral valve regurgitation.- Anatomical changes
associated with secondary mitral regurgitation: Difference between ischemic and
idiopathic cardiomyopathy.- Clinical prognostic value of secondary mitral valve
regurgitation.- Functional classification of the secondary mitral valve
regurgitation.- Preoperative echocardiographic evaluation of secondary mitral
valve regurgitation.- Three-dimensional echocardiographic imaging of secondary
mitral valve regurgitation.- Dynamic stress evaluation of secondary mitral
valve regurgitation.- Evaluation of secondary mitral valve regurgitation by
cardiac magnetic resonance.- Timing and patients selection for surgical repair
of secondary mitral valve regurgitation.- Intraoperative echocardiographic
imaging during mitral valve repair.- Surgical approaches of secondary mitral
regurgitation: Mitral valve restrictive annuloplasty: the ideal strategy.- The
role of the “edge-to-edge” mitral valve repair.- Prosthetic ring choice: impact
on clinical outcomes and repair results.- Papillary muscles relocation.- Basal
chordal cutting.- The Coapsys Device.- The CorCap device.- Role of cardiac
resynchronization therapy.- Percutaneous treatment in secondary mitral valve
regurgitation.- 2D and 3D echocardiographic imaging during percutaneous mitral
clip procedure.- Impact of tricuspid valve regurgitation in patients with
secondary mitral valve regurgitation.- Tricuspid valve repair: when and how.-
Predictors of recurrent mitral regurgitation after mitral valve repair
surgery.- Follow-up after mitral valve repair.
Open heart surgery has been in a continuous state of evolution since its earliest day. This book presents information on the management of secondary mitral valve regurgitation, one of most vexing problems to cardiologists, cardiac surgeons and patients. The treatment for primary mitral regurgitation is straightforward and has as its primary aim timely intervention to prevent left ventricular remodelling and left ventricular dysfunction. The management of secondary mitral regurgitation is more challenging as the mitral valve is not the primary cause of the disease. Furthermore, correcting mitral regurgitation without changing the left ventricular geometry is not guaranteed to be either beneficial or curative.
Secondary Mitral Valve Regurgitation draws together contributions from a range of experienced cardiac surgeons, cardiologists, anesthetists and scientists to provide comprehensive and authoritative coverage on anatomy, hemodynamics, mechanism, echocardiographic assessment and treatment modalities. Many of the elusive details surrounding the best management of secondary mitral regurgitation are presented in a comprehensive manner so that this book will serve as an important primary source for readers wanting information on this important topic.