僧帽弁後尖 PML
WordNet
- located at or near or behind a part or near the end of a structure
- part of a compound leaf
- relating to or resembling the miter worn by some clerics
- of or relating to or located in or near the mitral valve; "mitral insufficiency"
PrepTutorEJDIC
- 《名詞の前にのみ用いて》(生物学的に,位置が)後ろの,後部の / (時間・順序が)後の;(…より)後の《+『to』+『名』》(later) / しり(buttocks)
- (広告などの)ちらし,びら / (とじてない)パンフレット,小冊子 / 小さい(若)葉;(植物の複葉を構成する)小葉
UpToDate Contents
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English Journal
- Concept of the central clip: when to use one or two MitraClips®.
- Alegria-Barrero E1, Chan PH, Foin N, Syrseloudis D, Tavazzi G, Price S, Lindsay AC, Duncan A, Moat N, Di Mario C, Franzen OW.Author information 1Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom.AbstractAims: Percutaneous edge-to-edge mitral valve repair with the MitraClip® was shown to be a safe and feasible alternative compared to conventional surgical mitral valve repair. We analyse the concept of the central clip and the predictors for the need of more than one MitraClip® in our high-risk surgical population with severe mitral regurgitation (MR). Methods and results: Patients with severe MR (3 or 4+) and high operative risk (as defined by logistic EuroSCORE) refused for conventional mitral valve repair were considered for MitraClip®. The procedure was performed under general anaesthesia with transoesophageal echocardiographic (TOE) guidance. Device success was defined as placement of one or more MitraClips® with a reduction of MR to ≤2+. Patients were followed up clinically and with TOE at one month and one year. From September 2009 to March 2012, 43 patients with severe MR with a mean age of 74.8±10.7 years (30 males, 13 females; mean logistic EuroSCORE 24.1±11, mean LVEF 47.5±18.5%; mean±SD) were treated. Median follow-up was 385 days (104-630; Q1-Q3). Device implantation success was 93%. All patients were treated following the central clip concept: 52.5% of MR was degenerative in aetiology and 47.5% was functional. The degree of MR was reduced from 3.6±0.4 to 1.4±0.6 (p<0.001); NYHA Class improved from 3.1±0.4 to 1.8±0.7 (p<0.001). Nineteen patients (47.5%) received two or more clips. Vena contracta (p<0.001) and the presence of two broad jets (p<0.001) were correlated with the need for a second clip. The presence of a restricted posterior mitral valve leaflet (PML) was inversely correlated with the need for more than one clip (p=0.02). A cut-off value of ≥7.5 mm for vena contracta predicted the need for a second clip (sensitivity 83%, specificity 90%, p=0.01). Conclusions: The central MitraClip® concept achieved a significant reduction in the degree of mitral regurgitation in the majority of patients treated. The presence of a broad jet (quantified by a vena contracta greater than 7.5 mm) significantly predicted the need for more than one clip.
- EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology.EuroIntervention.2014 Feb 22;9(10):1217-24. doi: 10.4244/EIJV9I10A204.
- Aims: Percutaneous edge-to-edge mitral valve repair with the MitraClip® was shown to be a safe and feasible alternative compared to conventional surgical mitral valve repair. We analyse the concept of the central clip and the predictors for the need of more than one MitraClip® in our high-risk sur
- PMID 23764890
- Development of left ventricular hypertrophy in a novel porcine model of mitral regurgitation.
- Ravn N, Zois NE, Moesgaard SG, Honge JL, Smerup MH, Hasenkam JM, Sloth E, Cremer SE, Olsen LH.AbstractAbstract Objectives: We aimed to develop a porcine model for chronic non-ischemic mitral regurgitation (MR) to investigate left ventricular (LV) enlargement and eccentric hypertrophy. Design: Non-ischemic MR was induced in 30 pigs by open chest immobilization of the posterior mitral leaflet by transannular traction sutures that where applied in transmyocardial fashion. A sham operated control group (n=13) was included. Echocardiographic LV size and heart weight assessed at euthanasia were used to evaluate the development of LV enlargement and eccentric hypertrophy after eight weeks follow-up. Results: Eight pigs died and 7 were excluded due to mediastinal infection (n=2) or failure to produce MR (n=5). Thus, 28 pigs were included and were divided into 3 groups: controls (n=12), mild MR (mMR; n=10) and moderate to severe MR (sMR; n=6). The change in LV internal diameter in diastole (LVIDd) from baseline to follow-up was significantly higher in the sMR group compared to the control group (P=0.0017). Furthermore, LV weight was significantly increased in the mMR (P=0.047) and the sMR (P=0.0087) groups compared to the control group. Conclusions: A new model for chronic moderate to severe non-ischemic MR with development of LV enlargement and eccentric hypertrophy within 8 weeks has been established in pigs.
- Scandinavian cardiovascular journal : SCJ.Scand Cardiovasc J.2014 Feb 19. [Epub ahead of print]
- Abstract Objectives: We aimed to develop a porcine model for chronic non-ischemic mitral regurgitation (MR) to investigate left ventricular (LV) enlargement and eccentric hypertrophy. Design: Non-ischemic MR was induced in 30 pigs by open chest immobilization of the posterior mitral leaflet by trans
- PMID 24548173
- Partial clip detachment and posterior mitral leaflet perforation after mitraclip implantation.
- Citro R1, Baldi C2, Mastrogiovanni G2, Silverio A2, Bossone E2, Giudice P2, Piscione F2, Di Benedetto G2.Author information 1Heart Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy. Electronic address: rodolfocitro@gmail.com.2Heart Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.KEYWORDS: Mitraclip complications, Mitral regurgitation, Three-dimensional echocardiography
- International journal of cardiology.Int J Cardiol.2014 Feb 15;171(3):e113-6. doi: 10.1016/j.ijcard.2013.12.040. Epub 2013 Dec 27.
- PMID 24405839
Japanese Journal
- Surgery for Left Ventricular Outflow Tract Obstruction with a Relatively Thin Interventricular Septum
- Successful Treatment of Mitral Regurgitation after Transapical Transcatheter Aortic Valve Implantation by Percutaneous Edge-to-edge Mitral Valve Repair (MitraClip<sup>®</sup>) -The First Combination Therapy Performed in Japan-
Related Links
- The mitral valve (also known as the bicuspid valve or left atrioventricular valve) is a dual-flap (bi- from the Latin, ... Note that although the anterior leaflet takes up a larger part of the ring and rises higher, the posterior leaflet has a larger surface ...
- The mitral valve, so named because of its resemblance to a bishop's mitre, is the heart valve that prevents the backflow of blood from the left ventricle into the left atrium of the heart. It is composed of two leaflets, one anterior and one posterior, ...
Related Pictures
★リンクテーブル★
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- 英
- posterior mitral leaflet, PML
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- 関
- after、afterward、afterwards、backward、behind、following、late、post、posteriorly、subsequent
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- 関
- brochure、lobula、lobular、lobule、pamphlet
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- 関
- mitral valve