Secondary Mitral Valve Regurgitation

Ischemic or idiopathic mitral valve disease (so called secondary mitral valve regurgitation) is a rather new concept. This topic is deeply polarizing the attention of the cardiologist and cardiothoracic community. Although there is an impressive amount of efforts to understand the etiology, mechanism, treatment and prognostic factors, still clear indications and guide-lines are missing. Therefore this group of patients lie in a grey-area and physicians looking after them cannot count on proper recommendations. The main purpose of this book is to review the most relevant knowledge about secondary mitral valve regurgitation, from the anatomy, definition, classification, diagnosis and prevalence to the up-to-date surgical and medical management.

Reviews the definition and classification of secondary mitral valve regurgitation Contains extensive diagnostic imaging Provides practical information on the treatment and prognostic factors of mitral valve regurgitation Collects all the most recent evidence on the secondary ischemic and idiopathic mitral valve Assembles the opinions and the thoughts of the most expert surgeons, physicians, cardiologists and echocardiographers in the world?

Klappentext

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.

Inhalt
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.