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Surgery for Acquired AV-Valve Diseases

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Cardiac Surgery

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Abstract

AV valve dysfunction particularly mitral valve disease represents the second common cause beside aortic valve stenosis for heart valve surgery in adult patients. In this chapter, several surgical approaches to the AV valves including different atriotomy techniques are described with a special emphasis on reoperative approaches after previous cardiac surgery. The functional anatomy of mitral valve is discussed as well as underlying pathologies leading to valvular dysfunction. In patients with mitral regurgitation, mitral valve repair should be performed whenever possible. Several techniques of mitral valve repair are described with a particular emphasis on the importance of the utilization of annuloplasty devices. However, mitral valve replacement particular in patients with severe calcified mitral stenosis still plays an important role in the armamentarium of every cardiac surgeon. In these patients, partial or complete preservation of subvalvular structures should be achieved as far as possible regardless the choice of prosthetic valve. Tricuspid valve regurgitation is commonly seen in patients with mitral valve disease and rarely an isolated entity. In the majority of patients, tricuspid valve regurgitation can be addressed by tricuspid valve annuloplasty. However, other techniques of tricuspid valve repair and tricuspid valve replacement are also described.

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Authors and Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Heart Center, University of Cologne, Cologne, Germany

    Parwis B. Rahmanian MD, PD & Thorsten C. W. Wahlers MD, PhD

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  1. Parwis B. Rahmanian MD, PD
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  2. Thorsten C. W. Wahlers MD, PhD
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Correspondence to Thorsten C. W. Wahlers MD, PhD .

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Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Gerhard Ziemer

  2. HTTG - Surgery, Medizinische Hochschule Hannover, Hannover, Germany

    Axel Haverich

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Rahmanian, P.B., Wahlers, T.C.W. (2017). Surgery for Acquired AV-Valve Diseases. In: Ziemer, G., Haverich, A. (eds) Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52672-9_25

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  • DOI: https://doi.org/10.1007/978-3-662-52672-9_25

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  • Print ISBN: 978-3-662-52670-5

  • Online ISBN: 978-3-662-52672-9

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