Recent Progress in Mitral Valve Disease

Recent Progress in Mitral Valve Disease presents a comprehensive examination of the proceedings that resulted from the International Symposium that transpired in Paris. It discusses the anatomy and physiology of the mitral valve. It addresses the cyclical motion of the mitral valve leaflets. Some of the topics covered in the book are the cyclical motion of the mitral annulus; analysis of hypertrophic cardiomyopathy; diagnoses of acute myocardial ischemia; characteristics of an abnormally functioning, structurally abnormal mitral valve; atrial function in normal cardiac cycle; and atrial function in acute mitral regurgitation. The factors that modify regurgitant volume are fully covered. An in-depth account of the methods for animal preparation and dynamics of acute experimental mitral regurgitation are provided. The uses and limitations of echocardiography in the examination of the mitral valve are completely presented. A chapter is devoted to the timing of surgical intervention in chronic mitral regurgitation. Another section focuses on the status of prosthetic valves in the mitral position. The book can provide useful information to doctors, cardiologists, students, and researchers.

Section 1 1 Introduction 2 Historical Perspective of Surgery on the Mitral ValveSection 2 Flow Dynamics in Mitral Valve Disease 3 Dynamics and Fluid Dynamics of the Mitral Valve 4 Physiology of Mitral Valve Flow 5 A New Approach to Mitral Valve Exploration Using a Two-Dimensional Echo-Doppler TechniqueSection 3 The Integrated Function of the Mitral Apparatus, Left Atrium, Mitral Annulus and Papillary Muscles 6 Functional Anatomy of the Mitral Valve and Annulus in Man: Lessons Learned from Echocardiographic Observations 7 Left Atrial Function in Mitral Valve Disease 8 The Dynamics of Acute Experimental Mitral Regurgitation 9 Uses and Limitations of Echocardiography in the Examination of the Mitral Valve 10 Vasodilator Therapy for Mitral RegurgitationSection 4 the Determinants and Implications of Pump and Myocardial Function in Mitral Valve Disease 11 The Use of Quantitative Angiocardiography in Mitral Valve Disease 12 Adaptations of the Left Ventricle to Chronic Volume Overload and the Problem of Postoperative Afterload Mismatch in Mitral Regurgitation 13 The Timing of Surgical Intervention in Mitral Regurgitation 14 Effects of Acute and Chronic Mitral Regurgitation on Left Ventricular Mechanics and Contractile Muscle FunctionSection 5 Surgical Treatment Using Prosthetic Valves 15 The Silastic Ball Valve: a Current Prosthesis for Mitral Replacement 16 The Current Status of Prosthetic Valves in the Mitral PositionSection 6 Surgical Treatment Using Tissue Valves 17 Current Status of the Pericardial Xenograft Valve 18 Current Status and the Future of Tissue Valves 19 the Performance of the Hancock Bioprosthetic Valve over an 11- Year follow-up Period: a Preliminary ReportSection 7 Surgical Treatment Using Reconstructive Techniques 20 Mitral Reconstruction in Predominant Mitral Stenosis 21 Mitral Reconstruction in Predominant Mitral IncompetenceSection 8 Special Considerations in Mitral Valve Surgery 22 Anesthesia for Mitral Valve Surgery 23 Mitral Valve Re-Replacement 24 Mitral Valve Replacement with Coronary Artery Disease 25 IHSS, the Mitral Valve and Its Treatment 26 Thromboembolism after Mitral Valve Replacement 27 Antithrombotic Therapy following Mitral Valve ReplacementSection 9 the Diagnosis and Treatment of Congenital Mitral Valve Disease 28 the Pathology of Congenital Mitral Valve Disease 29 the Pathology of Complete Atrioventricular Orifice 30 Diagnosis, Evaluation and Treatment of Congenital Abnormalities of the Mitral Valve 31 Repair of Complete Atrioventricular CanalSection 10 Investigational Papers 32 In-Situ Function of the Papillary Muscle in the Canine Left Ventricle 33 Preservation of Restoration of the Mitral Mechanism during Inferior Wall Aneurysmectomy 34 Deceleration of Mitral Flow and the Genesis of Gallop Sounds 35 Pulmonary Function 8 Years After Mitral Valve Replacement 36 Chordal Rupture: Repair or Replacement? 37 the Reconstruction of the Mitral Valve with Stabilized Biological Tissue in 33 Cases 38 the 'Dynamic' Mitral Ring: a New Concept in Treating Mitral Insufficiency 39 Valve Replacement for Chronic Mitral Insufficiency: Long Term follow-up Using Technetium-99m - Pertechnetate ScintographySection 11 40 Summary and Overview