Abstract
In this chapter, the issues will be simplified artificially, considering each lesion in isolation and pretending that no other valve lesions are present. In addition, the mechanistic and etiologic factors will be presented as though perfectly clear and isolated, which in many real patients is often not true. Sometimes a patient has valvular disease from two sources, for example, myxomatous mitral valve disease with superimposed ischemic heart disease. In many circumstances, such a separation is artifi cial. In addition, these discussions will purposefully neglect the settings of acute valvular dysfunction, management of which is different than in chronic valvular lesions, the subject of this chapter.
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Bibliography
Bonow R, et al. ACC/AHA guidelines for valvular heart disease. J Am Coll Cardiol. 1998;32:1486.
Cannon JD, Zile MR, Crawford FA, Carabello BA. Aortic valve resistance as an adjunct to the Gorlin formula in assessing the severity of aortic stenosis in symptomatic patients. J Am Coll Cardiol. 1992;20(7):1517–1523.
Grigoni et al. J Am Coll Cardiol. Dec, 1999
Klodas E, Enriquez-Sarano M, Tajik AJ, Mullany CJ, Bailey KR, Seward JB. Surgery for aortic regurgitation in women: contrasting indications and outcomes compared with men. Circulation. 1996;94:2472–2478.
Ling LH, et al. Clinical outcome of mitral regurgitation due to flail leaflet. N Engl J Med. 1996;335:1417–1423.
Otto CM, Lind BK, Kitzman DW, Gersh BJ, Siscovick DS. Association of aortic-valve stenosis with cardiovascular mortality and morbidity in the elderly. N Engl J Med. 1999;341:142–147.
Ross J Jr, Braunwald E. Aortic stenosis. Circulation. 1968;38:61–67.
Stewart WJ. Myocardial factor for timing of surgery in asymptomatic patients with mitral regurgitation. Am Heart J. 2003;146:5–8.
Stewart WJ, Currie PJ, Salcedo EE, Klein AL, Marwick TH, Cosgrove DM. Evaluation of mitral leaflet motion by echocardiography and jet direction by Doppler color flow mapping to determine the mechanism of mitral regurgitation. J Am Coll Cardiol. 1992;20:1353–1361.
Wilkins GT, Weyman AE, Abascal VM, Block PC, Palacios IF. Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J. 1989;60(4):299–308.
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Stewart, W.J. (2009). Criteria for Operative Intervention in Valvular Heart Disease Based on Echocardiography. In: Nihoyannopoulos, P., Kisslo, J. (eds) Echocardiography. Springer, London. https://doi.org/10.1007/978-1-84882-293-1_11
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DOI: https://doi.org/10.1007/978-1-84882-293-1_11
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