Diagnosis and Treatment of Mitral Valve Disease

Diagnosis and Treatment of Mitral Valve Disease

A Multidisciplinary Approach

1st Edition - July 22, 2022

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  • Editor: Scott Goldman
  • Hardcover ISBN: 9780323824781
  • eBook ISBN: 9780323824798

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Description

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.

Table of Contents

  • 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

Product details

  • No. of pages: 352
  • Language: English
  • Copyright: © Elsevier 2022
  • Published: July 22, 2022
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323824781
  • eBook ISBN: 9780323824798

About the Editor

Scott Goldman

Affiliations and Expertise

Director Structural Heart Program Lankenau Heart Institute Professor of Surgery Thomas Jefferson University

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