23 patients with mitral stenosid with or without mild mitral open, ages of 23-50 (male: 10) received an operation. As the results of direct measurement of pulmonary arterial pressure and left atrial pressure in an operation have shown that the pulmonary arterial pressure was direct correlated before and after operation(r= 0.572 before operation; r=0.65 after operation).These parameters were reduced significantly and rapidly after operation when comparing with these before operation.
Evaluation Studies ; Thoracic Surgery ; Mitral Valve Stenosis

A study was carried out on the 23 patients (male:10, female: 13) with the mitral stenosid with merely close or combination with the mild mitral open (grade III), ages of 23-50 indicated an operation for seperation of close valve in the Army Central hospital 108 during 1/1998 to 10/1999 in which there were 5 patients with the mitral stenosid, 18 patients with the mitral stenosid in combination with the mitral open grade I, II, 14 patients with the atrial rhythm, 9 patients with atrial fibrillation. The atrial pressure reduced from 15-67 mmHg to 15-45 mmHg. There was a direct proportional between the left atrial and right ventricular pressures
Mitral Valve Stenosis ; Ventricular Pressure ; surgery

Coronary Artery Disease ; surgery ; Humans ; Mitral Valve Stenosis ; surgery

Transcatheter aortic valve implantation (TAVI) has shown favorable outcomes in patients with severe symptomatic aortic valve stenosis who are at high surgical risk or are unsuitable candidates for open heart surgery. However, concerns exist over treating patients who have previously undergone mitral valve surgery due to the potential interference between the mitral prosthetic valve or ring and the TAVI device. In this case report, we present a patient with symptomatic severe aortic stenosis and previous mechanical mitral valve replacement who was successfully treated with TAVI using a CoreValve.
Aortic Valve Stenosis ; Aortic Valve* ; Catheters ; Heart Valve Prosthesis ; Humans ; Mitral Valve* ; Prosthesis Implantation ; Thoracic Surgery

A 45-year-old woman was diagnosed as having chylothorax after a mitral valve replacement for mitral stenosis. direct injury of lymphatics in thymus a ramification of thoracic duct was presumed to be responsibe for this complication. Four weeks of conservative treatment failed and surgical treatment was performed, We report a case of surgical treatment for chlyothorax after and open heart surgery.
Chylothorax* ; Female ; Humans ; Middle Aged ; Mitral Valve ; Mitral Valve Stenosis ; Thoracic Duct ; Thoracic Surgery* ; Thymus Gland

We experienced a case of pedunculated left atrial primary fibrosarcoma, which obstructed the mitral orifice and produced symptoms and manifestations of mitral stenosis clinically. There was no evidence of metastasis to adjacent tissue or distant organs. It was treated by open heart surgery.
Fibrosarcoma* ; Heart Atria* ; Mitral Valve Stenosis ; Neoplasm Metastasis ; Thoracic Surgery

Humans ; Mitral Valve Stenosis/surgery* ; Transcatheter Aortic Valve Replacement ; Dilatation ; Catheterization ; Aortic Valve Stenosis/surgery* ; Aortic Valve/surgery* ; Treatment Outcome ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation

Humans ; Mitral Valve Stenosis/surgery* ; Transcatheter Aortic Valve Replacement ; Dilatation ; Catheterization ; Aortic Valve Stenosis/surgery* ; Aortic Valve/surgery* ; Treatment Outcome ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation

We have experienced a case of deflation failure of Inoue balloon in the left atrium during mitral balloon valvuloplasty in a 44 year old male patient with tight mitral stenosis, who died just after emergency open heart surgery for removal of undeflated Inoue balloon and mitral valve replacement because of associated acute hemorrhagic myocardial infarction.
Adult ; Balloon Valvuloplasty ; Emergencies ; Heart Atria ; Humans ; Male ; Mitral Valve ; Mitral Valve Stenosis ; Myocardial Infarction ; Thoracic Surgery

BACKGROUNDLive three-dimensional transesophageal echocardiography (live-3D-TEE) is a new technique, but its clinical value is unclear at present. This study aimed to investigate the feasibility, imaging quality and accuracy of live-3D-TEE for assessing mitral valve morphology to determine if live-3D-TEE has important value in mitral valve surgery.

METHODSTwenty-four patients with mitral valve disease (mean age (47.1 +/- 11.6) years, mean weight (64.7 +/- 10.5) kg) underwent live-3D-TEE and two dimensional transesophageal echocardiography (2D-TEE) before and after mitral valve surgery. Sensitivity, specificity, and total consistency rates of live-3D-TEE for diagnosing ruptured chordae were calculated and compared to surgeon's findings. We also compared the diagnostic accuracy of mitral valve disease between live-3D-TEE and 2D-TEE.

RESULTSLive-3D-TEE allowed visualization of the anatomic structure of the heart online and clearly identified the valvular apparatus and their defects. Sensitivity and specificity for the detection of ruptured chordae by live-3D-TEE were 87.5% and 100% respectively, and the total consistency rate was 95.8%. Additional defects not diagnosted by 2D-TEE were found in three cases (12.5%) preoperatively by live-3D-TEE. Live-3D-TEE could evaluate the function of prosthetic or native valves immediately after operation. One case was re-repaired (4.2%) using guidance by live-3D-TEE.

CONCLUSIONLive-3D-TEE enabled evaluation of mitral valve function and provided adequate valuable information before and after mitral valve surgery. We conclude that live-3D-TEE can play an important role in mitral valve surgery.

Adult ; Aged ; Echocardiography, Transesophageal ; Female ; Heart Valve Diseases ; diagnostic imaging ; surgery ; Humans ; Male ; Middle Aged ; Mitral Valve ; surgery ; Mitral Valve Prolapse ; diagnostic imaging ; surgery ; Mitral Valve Stenosis ; diagnostic imaging ; surgery ; Sensitivity and Specificity