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Author Yildirim, Ozgur ♦ Ozyuksel, Arda ♦ Avsar, Mustafa ♦ Yerebakan, Can ♦ Zeybek, Cenap ♦ Demiroluk, Sener ♦ Bilal, Mehmet Salih
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Wiley
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Life sciences; biology ♦ Physiology & related subjects ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human anatomy, cytology, histology ♦ Human physiology ♦ Diseases ♦ Surgery & related medical specialties ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Cardiovascular System ♦ Anatomy ♦ Eukaryota ♦ Organisms ♦ Cardiovascular Diseases ♦ Congenital, Hereditary, and Neonatal Diseases and Abnormalities ♦ Diseases ♦ Diagnosis ♦ Surgical Procedures, Operative ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Physical Phenomena ♦ Biological Sciences ♦ Persons ♦ Persons
Subject Keyword Discipline Cardiology ♦ Discipline Surgery ♦ Heart Defects, Congenital ♦ Surgery ♦ Mitral Valve ♦ Abnormalities ♦ Abnormalities, Multiple ♦ Cardiac Surgical Procedures ♦ Methods ♦ Child ♦ Child, Preschool ♦ Female ♦ Follow-up Studies ♦ Heart Septal Defects, Ventricular ♦ Humans ♦ Infant ♦ Male ♦ Retrospective Studies ♦ Time Factors ♦ Treatment Outcome ♦ Ventricular Outflow Obstruction ♦ Etiology ♦ Journal Article
Abstract BACKGROUND: Supravalvar mitral ring is a rare congenital anomaly leading to left ventricle inflow obstruction. We present our surgical experience and mid-term results in patients operated for supravalvar mitral ring and associated congenital heart defects. MATERIALS AND METHODS: A retrospective analysis was performed in order to evaluate the cases surgically treated with the diagnosis of supravalvar mitral ring between 2001 and 2014. Ten patients were identified, seven of whom had accompanying congenital heart defects. Median age at the operation was 4.5 years. RESULTS: Ventricular septal defects were encountered in half of the cases. Two of the patients had mitral annular hypoplasia, another two had the components of Shone's complex. The mean preoperative gradient across the supravalvar mitral ring decreased from 14.1 ± 4.2 mmHg to 4.6 ± 2.2 mmHg. All patients are alive and remain in a good clinical condition after a mean follow-up of five years. CONCLUSION: Supravalvar mitral ring is a surgically treatable cause of left ventricular inflow obstruction. Although residual gradients may be encountered in patients with mitral annular hypoplasia, surgical resection of the ring is encouraged.
Description Country affiliation: Turkey
Author Affiliation: Yildirim O ( Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey.); Ozyuksel A ( Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.); Avsar M ( Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey.); Yerebakan C ( Department of Pediatric Cardiac Surgery, Children's Heart Center, Giessen, Germany.); Zeybek C ( Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Turkey.); Demiroluk S ( Department of Anesthesiology, Medicana International Hospital, Istanbul, Turkey.); Bilal MS ( Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey.)
ISSN 08860440
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2015-07-01
Publisher Place United States
e-ISSN 15408191
Journal Journal of Cardiac Surgery
Volume Number 30
Issue Number 7


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Source: WHO-Global Index Medicus