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.
Table of Content
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 Cor Cap 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.
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