Focuses primarily on aortic and mitral valve disease.
Special attention devoted to optimal timing and the role of echocardiography to assess prosthetic valve function and dysfunction.
Discusses techniques for aortic valve surgery and choosing valve replacement devices.
Part of the series: Developments in Cardiovascular Medicine
Table of ContentsPreface; C.H. Peels, L.H.B. Baur. Section I: Pre and perioperative evaluation of mitral valve disease. 1: Preoperative Evaluation Of Mitral Valve Stenosis: What Do We Need? L.H.B. Baur. -Assessment of mitral valve stenosis. -Pre-operative Assessment for Surgical Intervention. -Guideline for Treatment of Mitral Valve Stenosis. 2: Preoperative Evaluation Of Mitral Regurgitation: The Challenge Of Optimal Timing; C.H. Peels. -Introduction. -Evaluation of the cause of MR. -Evaluation of the severity of MR. -Left ventricular function and mitral regurgitation. -Why optimal timing. -Factors influencing timing of surgery. 3: Perioperative Transesophageal Echocardiography In Mitral Valve Surgery; R.B.A. van den Brink, B.A.J.M. de Mol. - Introduction. -How to image the mechanism of mitral valve. regurgitation by multiplane TEE? -Anatomy of the valve: The surgeon's view. -Anatomy of the valve: The echocardiographer's view. -Function of the mitral valve. -Mechanism of mitral regurgitation. -How to assess severity of mitral regurgitation? -Does intraoperative TEE during mitral valve repair predict early and late mitral valve dysfunction? -Evaluation of mitral prostheses by transesophageal echocardiography. -Conclusion. Section II: Mitral Valve Surgery: Techniques. 1: Long-Term Results Of Prosthetic Devices In Mitral Position; G.L. van Rijk-Zwikker, B.J. M. Delemarre, R.A.E. Dion. -The Natural History of Mitral Incompetence. -Role of atrial fibrillation. -Pre-operative determinants for late survival. -Postoperative determinants for late survival after mitral valve replacement. -Post-operative thrombo-embolic events and bleeding. -Re-operations. -Endocarditis. -Post-operative pulmonary hypertension. -Structural failure. -Paravalvular Defects. -Valve Thrombosis. -Pannus. -Summary. 2: Postoperative Evaluation After Mitral Valve Surgery; F. Flachskampf. -Introduction. -General considerations: indications for and goals of the postoperative echo study. -Postoperative evaluation of mitral valve repair. -Postoperative evaluation of mitral valve replacement. -Other typical postoperative problems. -Does the postoperative echo make a difference? Section III: Pre And Peri-Operative Evaluation Of Aortic Valve Disease. 1: Preoperative Evaluation Of Aortic Insufficiency: Optimal Timing; C.H. Peels. -Introduction. -Etiology of aortic regurgitation. -Assessment of severity of aortic regurgitation. -Noninvasive follow up in chronic aortic regurgitation. -Timing of surgical intervention. -Factors influencing outcome after surgery for aortic regurgitation. -Summary. 2: Hemodynamic Evaluation Of Aortic Stenosis; J.M. van Dantzig. -Introduction. -Echocardiographic evaluation of aortic stenosis: Assessment of valve morphology. -Echocardiographic evaluation of aortic stenosis: Assessment of stenosis severity. -Assessment of stenosis severity in low-flow states. -Conclusion. 3: The Role Of Transesophageal Echocardiography In The Peri-Operative Period; L.H.B. Baur. -Aortic Valve Disease. -Mitral Valve Disease. -Detection of Ischemia. -Measurement of Systolic Function and Preload. 4: Evaluation Of Valve Disease With Novel Imaging Techniques; E.E. van der Wall. -Technical Aspects in MR Imaging. -Contraindications to MR Imaging. -Aortic Valve Stenosis. -Aortic Valve Insufficiency. -Mitral Valve Stenosis. -Mitral Valve Regurgitation.