Atlas of mitral valve repair
著者
書誌事項
Atlas of mitral valve repair
Lippincott Williams & Wilkins, c2006
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注記
Includes bibliographical references and index
HTTP:URL=http://www.loc.gov/catdir/toc/ecip0518/2005025874.html Information=Table of contents
収録内容
- The natural history of mitral regurgitation
- Functional anatomy of the mitral valve
- Pathology of mitral valve disease
- Assessing the functional substrate of mitral regurgitation with echocardiography
- Overview of mitral valve repair
- Annuloplasty : sutures, bands, and rings
- Commissurotomy
- Anterior leaflet repair techniques
- Posterior leaflet repair techniques
- Commissural repair techniques
- Other techniques
- Complications and assessing the quality of repair
内容説明・目次
内容説明
This full-color atlas with accompanying video DVD provides a complete and practical "how-to" guide to planning and performing mitral valve repair surgery for mitral regurgitation. The book reviews the natural history of mitral regurgitation, the functional anatomy of the mitral valve, and the use of echocardiography in preoperative evaluation and surgical planning. Chapters describe and illustrate all techniques currently used for mitral valve repair and discuss results. A bound-in DVD presents narrated video clips of six cases that show the application of specific techniques. Each case begins with preoperative echocardiograms demonstrating the mitral valve defect and proceeds through key surgical maneuvers.
目次
* The Natural History of Mitral Regurgitation * Functional Anatomy of the Mitral Valve * Pathology of Mitral Valve Disease * Assessing the Functional Substrate of Mitral Regurgitation with Echocardiography * Overview of Mitral Valve Repair * Annuloplasty: Sutures, Bands and Rings * Commissurotomy * Anterior Leaflet Repair Techniques * Posterior Leaflet Repair Techniques * Commissural Repair Techniques * Other Techniques * Complications and Assessing the Quality of Repair CONTENTS OF DVD Case 1 Clip 1. Preoperative echocardiogram with flail posterior leaflet and anterior jet with audio Clip 2. Examination of the posterior leaflet P2 flail chordal rupture and a cleft with audio Clip 3. Excision of a portion of the P2 Scallop based on the location of intact chords with audio Clip 4. Mobilization of the posterior leaflet and placement of posterior annuloplasty sutures with audio Clip 5. Reattachment of the posterior leaflet creating a posterior sliding plasty with audio Clip 6. Evaluation of cleft after posterior sliding plasty with audio Clip 7. Closure of cleft after posterior sliding plasty with audio Clip 8. Placement of remaining annuloplasty sutures with audio Clip 9. Sizing the annuloplasty band with audio Clip 10. Placement of sutures through the annuloplasty band with audio Clip 11. Final test after band placement with audio Case 2 Clip 1. Angiogram demonstrating poor EF and severe MR with audio Clip 2. Echocardiogram demonstrating dilated annulus, tethered leaflets, poor coaptation Clip 3. Examination of the leaflets with audio Clip 4. Sizing the ring with audio Clip 5. Testing the valve after ring placement with audio Clip 6. Postoperative echocardiogram showing reduced annular diameter with audio Case 3 Clip 1. Preoperative echocardiogram rheumatic valve with tethering, thickening, decrease excursion Clip 2. Evaluation of the leaflet stiff, commissural and cleft fusion, thickened chord with audio Clip 3. Release of secondary chordae with audio Clip 4. Commissurotomy with audio Clip 5. Sizing the annuloplasty band with audio Clip 6. Testing with cleft closure and lateral commissuroplasty with audio Case 4 Clip 1. Preoperative echocardiogram anterior leaflet prolapse with posterior jet with audio Clip 2. Examination of anterior leaflet prolapse with audio Clip 3. Anchoring the PTFE suture in the papillary muscle with audio Clip 4. Placement of annuloplasty sutures with audio Clip 5. Selecting the size of the annuloplasty band with audio Clip 6. Medial commissuroplasty with audio Clip 7. Testing after medial commissuroplasty with audio Clip 8. Attachment of PTFE chord to anterior leaflet with audio Clip 9. Postoperative echocardiogram with audio Case 5 Clip 1. Preoperative echocardiogram with audio Clip 2. Dissection of the interatrial groove with audio Clip 3. Evaluation of the valve with audio Case 6 Clip 1. Evaluation of the valve with bileaflet prolapse and posterior stretched chords with audio Clip 2. Quadrangular resection of the P2 scallop of the posteior leaflet with audio Clip 3. Placement of PTFE suture in anterolateral papillary muscle with audio Clip 4. Posterior folding plasty with audio Clip 5. Securing the posterior leaflet with audio Clip 6. Attachment of PTFE sutures to anterior leaflet with audio Clip 7. Sizing the ring with audio Clip 8. Securing the ring with audio
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