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This page is made for doctors, students, and medical professionals. Text is written in medical language rather than patient-friendly one. Patients are welcome as well, but should be aware of possible misunderstanding due to the medical style text.

Guidelines and treatment options at kardiohirurgija.rs are for educational purposes only, and you should not use or practice any therapy or treatment on your own without talking to your doctor. Kardiohirurgija.rs, therefore, disclaims no responsibility for complications and damage made by personal or unprofessional treatment.

2017 ESC/EACTS GUIDELINES FOR THE MANAGEMENT OF VALVULAR HEART DISEASE

Aortic stenosis

Aortic insufficinecy

Mitral insufficiency

Mitral stenosis

Anticoalgulation for valve diseases

Endocarditis prevention

FOR COMPLETE GUIDELINES LINK: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Valvular-Heart-Disease-Management-of

SURGICAL PROCEDURES

Repair of heavily calcified mitral valve with posterior annulus reconstruction

1. Heavily calcified posterior mitral leaflet and annulus

2. Leaflet resection and anulus decalcification

3. Left atrium is separated from the ventricle after decalcification

4. The AV groove defect is repaired with pericardial patch technique

5. The AV groove defect is repaired with pericardial patch technique

5. Fully competent valve after the repair.

Ishemic mitral valve repair with posterior leaflet patch augmentation

1. Small and immobile leaflet is detached from the posterior anulus

2. A huge bovine pericardium is used to augment the leaflet

3. Leaflet after the augmentation

4. Competent valve with annuloplasty ring on water probe

5. Postoperative TEE demonstrates competent mitral valve with high coaptation line

“Port access” mitral valve repair – scars and incissions

1. Scar 6 months after the “port-access” mitral valve repair

2. Scar 6 months after the “port-access” mitral valve repair

3. Scar 3 months after the “port-access mitral valve repair

4. Scar 3 months after the port-access mitral valve repair

5. Scar on the 1st postoperative day after the “port-access” mitral valve repair

6. Scar on the 1st postoperative day after the “port-access” mitral valve repair

LONG TERM RESULUTS AFTER THE MITRAL VALVE REAIP SURGERY PERSONAL RESULTS PROF STOJANOVIC

Functional MR

Long term survival after in patients with ishemci mitral valve repair and EF < 20%.

Bileaflet prolapse:

Freedom from the severe MR, 10 years follow-up: 96,6%±2,36

Survival , 10 years follow-up: 98,3% ± 1,79

Posterior mitral valve repair

Freedom from severe MR/MVR, 10 years follow-up : 98,6 ± 1,4 %,