HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Enriquez-Sarano, M. Search for Related Content PubMed PubMed Citation Articles by Enriquez-Sarano, M. Topic Collections Valvular heart disease Relevant Articles

Timing of mitral valve surgery

Correspondence to:
Correspondence to:
Dr Maurice Enriquez-Sarano, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA;
sarano.maurice@mayo.edu

Keywords: mitral valve surgery; mitral regurgitation; timing of surgery

	INTRODUCTION

 
Mitral valve surgery has changed considerably in the past decades and is now indicated mostly for pure or predominant mitral regurgitation. This is the result of the regression of rheumatic disease, of the efficacy of mitral balloon valvuloplasty for mitral stenosis, and of the aging of the population with increasing degenerative or ischaemic disease causing mitral regurgitation. Mitral regurgitation can be "organic" (that is, caused by intrinsic mitral disease such as rheumatic disease, ruptured chord, perforation of leaflet) or be "functional" (that is, where a normal valve regurgitates because of ventricular dysfunction).

The timing of mitral surgery has remained one of the most vexing problems of clinical cardiology because symptoms can remain absent or minimal despite severe regurgitation caused by adaptive remodelling of left ventricle and atrium, or because of patient adaptation to the disease. However, recent advances in the understanding of the natural history of the disease . . . [Full text of this article]

Relevant Articles

WEB TOP 10
Heart 2002 87: 471. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				T. Buck, B. Plicht, P. Kahlert, I. M. Schenk, P. Hunold, and R. Erbel Effect of Dynamic Flow Rate and Orifice Area on Mitral Regurgitant Stroke Volume Quantification Using the Proximal Isovelocity Surface Area Method J. Am. Coll. Cardiol., August 26, 2008; 52(9): 767 - 778. [Abstract] [Full Text] [PDF]

				R. M. Suri, H. V. Schaff, J. A. Dearani, T. M. Sundt III, R. C. Daly, C. J. Mullany, M. E. Sarano, and T. A. Orszulak Determinants of early decline in ejection fraction after surgical correction of mitral regurgitation. J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 442 - 447. [Abstract] [Full Text] [PDF]

				A. Marciniak, P. Claus, G. R. Sutherland, M. Marciniak, T. Karu, A. Baltabaeva, E. Merli, B. Bijnens, and M. Jahangiri Changes in systolic left ventricular function in isolated mitral regurgitation. A strain rate imaging study Eur. Heart J., November 1, 2007; 28(21): 2627 - 2636. [Abstract] [Full Text] [PDF]

				J. J.M. Westenberg, J. Doornbos, M. I.M. Versteegh, J. J. Bax, R. J. van der Geest, A. de Roos, R. A.E. Dion, and J. H.C. Reiber Accurate quantitation of regurgitant volume with MRI in patients selected for mitral valve repair Eur. J. Cardiothorac. Surg., March 1, 2005; 27(3): 462 - 467. [Abstract] [Full Text] [PDF]

				V. DiGregorio, K. J. Zehr, T. A. Orszulak, C. J. Mullany, R. C. Daly, J. A. Dearani, and H. V. Schaff Results of mitral surgery in octogenarians with isolated nonrheumatic mitral regurgitation Ann. Thorac. Surg., September 1, 2004; 78(3): 807 - 813. [Abstract] [Full Text] [PDF]

				C. Seiler Management and follow up of prosthetic heart valves Heart, July 1, 2004; 90(7): 818 - 824. [Full Text] [PDF]

				E Agricola, M Galderisi, M Oppizzi, A F L Schinkel, F Maisano, M De Bonis, A Margonato, A Maseri, and O Alfieri Pulsed tissue Doppler imaging detects early myocardial dysfunction in asymptomatic patients with severe mitral regurgitation Heart, April 1, 2004; 90(4): 406 - 410. [Abstract] [Full Text] [PDF]

				M. H. Yacoub and L. H. Cohn Novel Approaches to Cardiac Valve Repair: From Structure to Function: Part II Circulation, March 9, 2004; 109(9): 1064 - 1072. [Full Text] [PDF]

				O. Bech-Hanssen, T. Ryden, H. Schersten, A. Oden, F. Nilsson, and A. Jeppsson Mortality after mitral regurgitation surgery: importance of clinical and echocardiographic variables Eur. J. Cardiothorac. Surg., November 1, 2003; 24(5): 723 - 730. [Abstract] [Full Text] [PDF]

				B. Iung Management of ischaemic mitral regurgitation Heart, April 1, 2003; 89(4): 459 - 464. [Full Text] [PDF]