Heart Valve Surgery (eBook)

The authors are recognized experts in heart valve surgery, and draw on their vast experience to provide a book that will serve not only as a basic manual for cardiac surgeons but also as an invaluable compendium of readily understood information for cardiologists and general practitioners.

Preface 6
Contents 10
History of Heart Valve Surgery 14
1 History of Heart Valve Surgery 15
References 18
Surgical Anatomy of the Heart Valves 22
2 Surgical Anatomyof the Heart Valves 23
2.1 Introduction 23
2.2 Aortic Valve 23
2.3 Mitral Valve 26
2.4 Tricuspid Valve 32
2.5 Pulmonary Valve 41
References 41
Overview of the Valve Replacement Devices 42
3 Overview of the Valve Replacement Devices 43
3.1 Introduction 43
3.2 Terminology of the ValveReplacement Devices Parameters 43
3.3 Mechanical Heart Valves 48
3.3.1 Caged-Ball Valves 48
3.3.2 Disc Valves 54
3.3.3 Bileafl et Valves 58
3.4 Biological Valves 65
3.4.1 Bioprostheses 65
3.4.2 Allografts 71
3.4.3 Autografts 75
References 78
Choice of the Optimal Valve for Replacement 82
4 Choice of the Optimal Valvefor Replacement 83
4.1 Introduction 83
4.2 General Advantages and Drawbacksof Mechanical Prostheses, Bioprostheses,Allografts, and Autografts 83
4.3 Factors that Aff ect the Choiceof the Valve Replacement Device 88
4.3.1 Age 89
4.3.2 Attitude to the Anticoagulation Th erapy 90
4.3.3 Size and Quality of the Annulus 90
4.3.4 Risk of Th romboembolism 92
4.3.5 Pregnancy 92
4.3.6 Other Factors 94
References 95
Aortic Valve Surgery 104
5 Aortic Valve Surgery 105
5.1 Introduction 105
5.2 Aortic Stenosis 106
5.2.1 Etiology of Aortic Stenosis 107
5.2.2 Indications for Surgery 117
5.2.3 Surgical Treatment of Aortic Stenosis 119
5.3 Aortic Regurgitation 174
5.3.1 Etiology of Aortic Regurgitation 175
5.3.2 Indications for Surgery 183
5.3.3 Valve-Sparing Proceduresin Aortic Regurgitation 187
References 206
Mitral Valve Surgery 214
6 Mitral Valve Surgery 215
6.1 Introduction 215
6.2 Surgical Approaches to the Mitral Valve 216
6.3 Mitral Stenosis 222
6.3.1 Indications for Surgery 226
6.3.2 Closed Mitral Commissurotomy 226
6.3.3 Open Mitral Commissurotomy 228
6.3.4 Mitral Valve Replacement 230
6.4 Mitral Regurgitation 248
6.4.1 Etiology of Mitral Regurgitation 248
6.4.2 Indications for Surgery 259
References 300
Tricuspid Valve Surgery 310
7 Tricuspid Valve Surgery 311
7.1 Introduction 311
7.2 Tricuspid Stenosis 311
7.3 Tricuspid Regurgitation 312
7.3.1 Etiology of Tricuspid Regurgitation 312
7.3.2 Indications for Surgery 316
7.3.3 Surgical Procedures on the Tricuspid Valve 317
References 354
Pulmonary Valve Surgery 358
8 Pulmonary Valve Surgery 359
References 362
Dysfunction of Implanted Heart Valves 364
9 Dysfunction of ImplantedHeart Valves 365
9.1 Introduction 365
9.2 Structural Dysfunctionof Implanted Heart Valves 366
9.3 Th rombosis of Implanted Heart Valves 372
9.4 Paraprosthetic Leak 384
9.5 Prosthetic Valve Endocarditis 387
References 394
Results of Heart Valve Surgery 398
10 Results of Heart Valve Surgery 399
References 401
Recommended Monographs and Guidelines on Heart Valve Surgery 403
Monographs on Heart Valve Surgery 404
Guidelines on Heart Valve Disease 405
Index 407