La reparación de la insuficiencia mitral entre 2 orillas

Revuelta, José M.

doi:10.1016/j.circv.2015.01.003

Cited by 2 publications

(3 citation statements)

References 50 publications

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“…Mitral valve replacement with preservation of CTs and papillary muscles may maintain postoperative left ventricular function. Therefore, mitral valve repair is the preferred choice [8] as it reduces mortality and postoperative valve-related complications [9]. Different reconstructive surgical techniques are currently used.…”

Section: Introductionmentioning

confidence: 99%

Identification of Human Pathological Mitral Chordae Tendineae Using Polarization-sensitive Optical Coherence Tomography

Real

Icardo

Fernández-Barreras

et al. 2019

Sensors

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Defects of the mitral valve complex imply heart malfunction. The chordae tendineae (CTs) are tendinous strands connecting the mitral and tricuspid valve leaflets to the papillary muscles. These CTs are composed of organized, wavy collagen bundles, making them a strongly birefringent material. Disorder of the collagen structure due to different diseases (rheumatic, degenerative) implies the loss or reduction of tissue birefringence able to be characterized with Polarization Sensitive Optical Coherence Tomography (PS-OCT). PS-OCT is used to discriminate healthy from diseased chords, as the latter must be excised and replaced in clinical conventional interventions. PS-OCT allows to quantify birefringence reduction in human CTs affected by degenerative and rheumatic pathologies. This tissue optical property is proposed as a diagnostic marker for the identification of degradation of tendinous chords to guide intraoperative mitral valve surgery.

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Section: Introductionmentioning

confidence: 99%

Identification of Human Pathological Mitral Chordae Tendineae Using Polarization-sensitive Optical Coherence Tomography

Real

Icardo

Fernández-Barreras

et al. 2019

Sensors

View full text Add to dashboard Cite

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“…However, all the affected valve components should be excised in the first intervention, as future reoperations increase the mortality rate considerably: around 5% mortality after the first intervention, 7% after the second and 17% after the third intervention. In case of emergency surgery, these rates are of around 20%, 30% and 40% respectively [4]. On the one side, excising all the affected tissue is vital.…”

Section: Introductionmentioning

confidence: 99%

“…Mitral valve repair is preferred to mitral valve replacement as it reduces operative mortality [4]. More conservative interventions imply a better prognostic, reducing recovering time and symptoms and extending the reoperation rate.…”

Section: Introductionmentioning

confidence: 99%

OCT inspection of degenerative and rheumatic tendinous cords

et al. 2017

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Publication of record for individual papers is online in the SPIE Digital Library.SPIEDigitalLibrary.org Paper Numbering: Proceedings of SPIE follow an e-First publication model. A unique citation identifier (CID) number is assigned to each article at the time of publication. Utilization of CIDs allows articles to be fully citable as soon as they are published online, and connects the same identifier to all online and print versions of the publication. SPIE uses a seven-digit CID article numbering system structured as follows: The first five digits correspond to the SPIE volume number. The last two digits indicate publication order within the volume using a Base 36 numbering system employing both numerals and letters. These two-number sets start with 00, 01, 02, 03, 04, 05, 06, 07, 08, 09, 0A, 0B … 0Z, followed by 10-1Z, 20-2Z, etc. The CID Number appears on each page of the manuscript. ABSTRACTSurgical repair of the mitral valve complex presents high mortality rates, strongly dependent on the surgical procedure. Intensity and polarization sensitive OCT are explored as a feasible degradation inspection method for rheumatic and degenerative chords.

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La reparación de la insuficiencia mitral entre 2 orillas

Cited by 2 publications

References 50 publications

Identification of Human Pathological Mitral Chordae Tendineae Using Polarization-sensitive Optical Coherence Tomography

Identification of Human Pathological Mitral Chordae Tendineae Using Polarization-sensitive Optical Coherence Tomography

OCT inspection of degenerative and rheumatic tendinous cords

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