Diagnosis and Treatment of Mitral Valve Disease

A Multidisciplinary Approach

1st Edition - July 22, 2022
Editor: Scott Goldman
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 2 4 7 8 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 2 4 7 9 - 8

The only reference wholly dedicated to this complex topic, Diagnosis and Treatment of Mitral Valve Disease: A Multidisciplinary Approach provides authoritative, must-have… Read more

Purchase options

Info / Buy

LIMITED OFFER

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code is needed.

Institutional subscription on ScienceDirect

Request a sales quote

The only reference wholly dedicated to this complex topic, Diagnosis and Treatment of Mitral Valve Disease: A Multidisciplinary Approach provides authoritative, must-have information on the disease processes affecting the mitral valve, interpretation of diagnostic studies, and medical, transcatheter, and surgical treatments needed for mitral valve repair. Using a multidisciplinary approach, Drs. Scott Goldman and William Gray oversee a “who’s who” team of contributing authors who offer a holistic view of the modern treatment of mitral valve disease for today’s cardiac surgeons, cardiologists, and other cardiac team members.

Cover Image
Title Page
Copyright
Contributors
Preface
Foreword
Acknowledgements
Table of Contents
Video Contents
Introduction
Section 1 Foundations
Chapter 1 Anatomy of the Mitral Valve
CHAPTER OUTLINE
LEARNING OUTCOMES
INTRODUCTION
MITRAL VALVE LEAFLETS
3D PERSPECTIVE
SUB-VALVULAR APPARATUS
LEFT ATRIUM
FIBROUS SKELETON
LEFT VENTRICULAR OUTFLOW TRACT
CONDUCTION SYSTEM
ANATOMICAL APPROACHES TO THE MITRAL VALVE
REFERENCES
Chapter 2 Pathophysiology of Mitral Valve Disease
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
NORMAL MITRAL VALVE PHYSIOLOGIC FUNCTION
MITRAL REGURGITATION
MITRAL STENOSIS
MIXED DISEASE
SEQUALAE OF MITRAL VALVE DISEASE
SPECIAL POPULATIONS
SUMMARY
REFERENCES
Chapter 3 ACC/AHA Guidelines and Treatment Options for Mitral Valve Disease
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
MITRAL REGURGITATION
MITRAL STENOSIS
REFERENCES
Section 2 Diagnostic Tools
Chapter 4 Physical Examination
CHAPTER OUTLINE
LEARNING OBJECTIVES
THE MITRAL VALVE
Chapter 5 Transthoracic Echocardiogram
CHAPTER OUTLINE
LEARNING OUTCOMES
INTRODUCTION
STANDARD MITRAL VALVE EVALUATION
MITRAL REGURGITATION
MITRAL STENOSIS
SUMMARY
REFERENCES
Chapter 6 Diagnostic Tools: Transesophageal Echocardiography for Mitral Valve
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
GENERAL TRANSESOPHAGEAL ECHOCARDIOGRAPHY IMAGING PROTOCOL FOR THE MITRAL VALVE
SPECIFIC TRANSESOPHAGEAL ECHOCARDIOGRAPHY IMAGING PROTOCOL FOR THE MITRAL VALVE INTERVENTIONS
ASSESSMENT OF MITRAL REGURGITATION SEVERITY
CONCLUSION
REFERENCES
Chapter 7 Special Imaging Considerations for Transcatheter Mitral Therapy
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
SCREENING
PROCEDURAL IMAGING
FOLLOW-UP IMAGING
TRANSCATHETER MITRAL VALVE REPLACEMENT
FUTURE DIRECTIONS
REFERENCES
Chapter 8 Cardiac Magnetic Resonance Imaging for Mitral Regurgitation
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
MITRAL REGURGITATION
CARDIAC MAGNETIC RESONANCE TECHNIQUES USED FOR ASSESSMENT OF MITRAL REGURGITATION
WHEN TO USE GADOLINIUM
ECHOCARDIOGRAPHY VERSUS CARDIAC MAGNETIC RESONANCE
ADVANTAGES OF CARDIAC MAGNETIC RESONANCE
DISADVANTAGES OF CARDIAC MAGNETIC RESONANCE
DISCORDANCE BETWEEN ECHO AND CARDIAC MAGNETIC RESONANCE
MALIGNANT MITRAL VALVE PROLAPSE
SUMMARY: WHEN TO CONSIDER CARDIAC MAGNETIC RESONANCE FOR MITRAL REGURGITATION
REFERENCES
Chapter 9 Computed Tomography Scan in Mitral Valve Disease and Its Treatments
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
CT ANATOMY OF THE MITRAL VALVE
TECHNIQUE OF ACQUISITION, CONTRAST INJECTION PROTOCOL
IMAGES POST-PROCESSING
MITRAL ANNULAR DYNAMISM
3D ANNULAR SEGMENTATION
CT IN EVALUATION OF MITRAL VALVE DISEASE
CT IN EVALUATION OF MITRAL VALVE PROLAPSE
APEX LOCALIZATION
SEPTAL PUNCTURE
FLUOROSCOPIC ANGLE PREDICTION
LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION ASSESSMENT
REFERENCES
Chapter 10 Cardiac Catheterization
CHAPTER OUTLINE
LEARNING OBJECTIVES
TECHNICAL ASPECTS OF CARDIAC CATHETERIZATION
HEMODYNAMICS
REFERENCES
Section 3 Medical Treatment
Chapter 11 Diuretics and Neurohormonal Medications
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
MITRAL STENOSIS
ACUTE MITRAL REGURGITATION
CHRONIC PRIMARY MITRAL REGURGITATION
CHRONIC SECONDARY MITRAL REGURGITATION
SUMMARY
REFERENCES
Chapter 12 Cardiac Rhythm Management Implantable Devices
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
CARDIAC IMPLANTABLE ELECTRICAL DEVICES
SUMMARY
REFERENCES
Section 4 Surgical Therapies
Chapter 13 Medical Devices and Instruments
CHAPTER OUTLINE
LEARNING OBJECTIVES
MITRAL APPROACHES
REFERENCES
Chapter 14 Myocardial Protection and Perfusion Techniques in Mitral Valve Surgery
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
MYOCARDIAL PROTECTION AND CARDIOPLEGIA
MYOCARDIAL PROTECTION AND HYPOTHERMIA
CARDIOPLEGIC SOLUTIONS: ROUTES OF ADMINISTRATION
BASIC CONCEPTS IN CARDIOPLEGIA-STANDARD VS MICROPLEGIA
EXPEDITIOUS PROCEDURE (LIMITED ISCHEMIA)
BEATING HEART (CARDIOPULMONARY BYPASS ASSIST) MITRAL VALVE SURGERY
MINIMALLY INVASIVE CONSIDERATIONS
PERFUSION TECHNIQUES
SUMMARY
REFERENCES
Chapter 15 Mitral Operation: Sternotomy Approach
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
MEDIAN STERNOTOMY AND CANNULATION
LEFT ATRIOTOMY AND MITRAL EXPOSURE
VALVE INSPECTION AND REPAIR
PLACEMENT OF ANNULOPLASTY SUTURES
CHALLENGING EXPOSURE
MITRAL ANNULAR CALCIFICATION
RE-OPERATION
CONCOMITANT OPERATIONS
SUMMARY
REFERENCES
Chapter 16 Mitral Valve Surgery: Right Thoracotomy Approach
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
COMPARISON OF RIGHT THORACOTOMY TO STERNOTOMY
SET UP
OPERATIVE PROCEDURE
SPECIAL CONSIDERATIONS
SUMMARY
REFERENCES
Chapter 17 Mitral Operation: Endoscopic Approach
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
HISTORICAL PERSPECTIVE
PATIENT SELECTION
SETUP
BYPASS MANAGEMENT
EXPOSURE OF THE MITRAL VALVE
ENDOSCOPIC APPROACH TO MITRAL REPAIR
OPERATIONS IN SPECIAL POPULATIONS
RE-OPERATIONS
MITRAL REPLACEMENT AND CONCOMITANT OPERATIONS
POSTOPERATIVE CARE AND OUTCOMES
SUMMARY
REFERENCES
Chapter 18 Mitral Operation: Robotic Approach
CHAPTER OUTLINE
LEARNING OBJECTIVES
HISTORICAL PERSPECTIVE
INDICATIONS AND PREOPERATIVE ASSESSMENT
CONTRAINDICATIONS
SURGICAL TECHNIQUE
SURGICAL COMPLICATIONS
OUTCOMES
REFERENCES
Chapter 19 Surgical Repair of the Mitral Valve
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
CANDIDACY FOR VALVE REPAIR
COMMON TECHNIQUES FOR MITRAL VALVE REPAIR
OUR PHILOSOPHY FOR MITRAL VALVE REPAIR
SUMMARY
REFERENCES
Chapter 20 Surgical Replacement of the Mitral Valve
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
INDICATIONS FOR SURGICAL MITRAL VALVE REPLACEMENT
VALVE SELECTION
OPERATIVE STEPS AND SURGICAL APPROACH TO MITRAL VALVE REPLACEMENT
POSTOPERATIVE MANAGEMENT AND EARLY COMPLICATIONS
LONG-TERM CARE AND FOLLOW-UP
CONCLUSIONS/SUMMARY
REFERENCES
Chapter 21 Evaluation, Common Pitfalls, and Complications
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
PREOPERATIVE EVALUATION
INTRAOPERATIVE EVALUATION
COMPLICATIONS AFTER MITRAL VALVE SURGERY
SUMMARY
REFERENCES
Section 5 Transcatheter Therapies
Chapter 22 Transcatheter Mitral Valve Repair
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
CURRENT SURGICAL THERAPIES AND THEIR ASSOCIATION WITH CATHETER-BASED METHODS
DISCUSSION OF FDA-APPROVED THERAPIES: INDICATIONS
DISCUSSION OF FDA-APPROVED THERAPIES: PROCEDURAL DESCRIPTION
APPROVED THERAPIES IN EUROPE
REFERENCES
Chapter 23 Transcatheter Valvuloplasty
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
PATIENT SELECTION
SPECIAL POPULATIONS
PROCEDURE
PROCEDURAL STEPS
COMPLICATIONS
SHORT- AND LONG-TERM OUTCOMES
SUMMARY
REFERENCES
Chapter 24 Transcatheter Mitral Valve Replacement
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
CURRENT INDICATIONS AND USE
CHALLENGES WITH TRANSCATHETER MITRAL VALVE REPLACEMENT
PATIENT SELECTION AND PRE-PROCEDURE PLANNING
TRANSCATHETER APPROACHES FOR MITRAL VALVE REPLACEMENT
TRANSSEPTAL APPROACH PROCEDURE
TRANSAPICAL APPROACH PROCEDURE
POST-PLACEMENT EVALUATION
POST-TRANSCATHETER MITRAL VALVE REPLACEMENT FOLLOW-UP
SUMMARY
REFERENCES
Chapter 25 Percutaneous Mitral Valve Interventions: Evaluation, Pitfalls, and Complications
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
PATIENT SELECTION AND EVALUATION
PITFALLS AND COMPLICATIONS
SUMMARY
REFERENCES
Section 6 Developing Successful Programs
Chapter 26 Developing Successful Structural Heart Programs
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
THE MULTIDISCIPLINARY TEAM
TECHNOLOGY
FINANCIAL CONSIDERATIONS
QUALITY IMPROVEMENT AND THE IMPORTANCE OF DATA
RESEARCH
CONCLUSION
Chapter 27 Quality Improvement and Outcomes
CHAPTER OUTLINE
LEARNING OBJECTIVES
ASSESSING QUALITY IN MITRAL VALVE INTERVENTION
STRUCTURE
PROCESS
OUTCOMES
REFERENCES
Chapter 28 Establishing a Comprehensive Mitral Valve Program: Educating Patients and Referring Physicians
CHAPTER OUTLINE
LEARNING OBJECTIVES
INTRODUCTION
KEY COMPONENTS OF A COMPREHENSIVE MITRAL VALVE PROGRAM
MARKETING STRATEGY
OUTREACH
STRUCTURAL HEART PHYSICIAN LIAISONS
COMMUNICATION WITH REFERRING PHYSICIANS
EXECUTING YOUR PLAN: HOSPITAL IN-REACH, THE FIRST STEP TO OUTREACH
AVENUES FOR COLLABORATION
PATIENT EDUCATION
CONCLUSIONS
SUMMARY
REFERENCES
Chapter 29 Ten Elements for a Successful Mitral Program
CHAPTER OUTLINE
LEARNING OBJECTIVES
CARDIAC SURGERY EXPERTISE
ADVANCED IMAGING
INTERVENTIONAL CARDIOLOGIST WITH IMAGE INTERPRETATION SKILLS
ADVANCED PRACTICE PROVIDERS AND NURSE NAVIGATOR(S)
RESEARCH
A FUNCTIONAL HEART TEAM
MARKETING
QUALITY OVERSIGHT
INSTITUTIONAL SUPPORT
LUCK
Answers
Index