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Annular Dilatation

  • Narain Moorjani
  • Bushra S. Rana
  • Francis C. Wells
Chapter

Abstract

A 52 year-old gentleman presented with a progressive history of increasing exertional dyspnoea, associated with intermittent palpitations. He had no prior history of rheumatic fever or infective endocarditis but was being followed up with atrial fibrillation. Medical management included amiodarone therapy and an electrical cardioversion, which had failed to provide sustained freedom from the atrial arrhythmia. Cardiac catheterisation had demonstrated no obstructive coronary artery disease.

Keywords

Annular dilatation Functional mitral regurgitation Left atrial enlargement Left ventricular enlargement Atrial fibrillation Idiopathic dilated cardiomyopathy Ischaemic cardiomyopathy Ring annuloplasty Leaflet apposition Failure of coaptation 

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  1. Bothe W, Miller DC, Doenst T. Sizing for mitral annuloplasty: where does science stop and voodoo begin? Ann Thorac Surg. 2013;95(4):1475–83.CrossRefGoogle Scholar
  2. Khamooshian A, Buijsrogge MP, de Heer F, Gründeman PF. Mitral valve annuloplasty rings: review of literature and comparison of functional outcome and ventricular dimensions. Innovations (Phila). 2014;9(6):399–415.Google Scholar
  3. Komeda M, Kitamura H, Fukaya S, Okawa Y. Surgical treatment for functional mitral regurgitation. Circ J. 2009;73(Suppl A):A23–8.CrossRefGoogle Scholar
  4. Manabe S, Kasegawa H, Fukui T, Tabata M, Shinozaki T, Shimokawa T, Takanashi S. Do semi-rigid prosthetic rings affect left ventricular function after mitral valve repair? Circ J. 2013;77(8):2038–42.CrossRefGoogle Scholar
  5. Ring L, Dutka DP, Wells FC, Fynn SP, Shapiro LM, Rana BS. Mechanisms of atrial mitral regurgitation: insights using 3D transoesophageal echo. Eur Heart J Cardiovasc Imaging. 2014;15:500–8.CrossRefGoogle Scholar
  6. Tanimoto M, Pai RG. Effect of isolated left atrial enlargement on mitral annular size and valve competence. Am J Cardiol. 1996;77:769–74.CrossRefGoogle Scholar
  7. Vohra HA, Whistance RN, Magan A, Sadeque SA, Livesey SA. Mitral valve repair for severe mitral regurgitation secondary to lone atrial fibrillation. Eur J Cardiothorac Surg. 2012;42:634–7.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Narain Moorjani
    • 1
  • Bushra S. Rana
    • 2
  • Francis C. Wells
    • 1
  1. 1.Department of Cardiothoracic SurgeryRoyal Papworth HospitalCambridgeUK
  2. 2.Department of CardiologyRoyal Papworth HospitalCambridgeUK

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