Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management
The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Pizano, Alejandro [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020transfer abstract |
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| Umfang: |
5 |
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| Übergeordnetes Werk: |
Enthalten in: Impact of the global economic crisis on metal levels in particulate matter (PM) at an urban area in the Cantabria Region (Northern Spain) - 2011transfer abstract, official publication of the American Association for Thoracic Surgery, Amsterdam [u.a.] |
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| Übergeordnetes Werk: |
volume:32 ; year:2020 ; number:4 ; pages:630-634 ; extent:5 |
| Links: |
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| DOI / URN: |
10.1053/j.semtcvs.2020.05.021 |
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| 520 | |a The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. | ||
| 520 | |a The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. | ||
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10.1053/j.semtcvs.2020.05.021 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001210.pica (DE-627)ELV052139468 (ELSEVIER)S1043-0679(20)30148-9 DE-627 ger DE-627 rakwb eng 333.7 VZ 570 VZ 690 VZ 690 VZ 50.31 bkl 56.11 bkl Pizano, Alejandro verfasserin aut Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management 2020transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. Hirji, Sameer A. oth Nguyen, Tom C. oth Enthalten in Elsevier Impact of the global economic crisis on metal levels in particulate matter (PM) at an urban area in the Cantabria Region (Northern Spain) 2011transfer abstract official publication of the American Association for Thoracic Surgery Amsterdam [u.a.] (DE-627)ELV025757334 volume:32 year:2020 number:4 pages:630-634 extent:5 https://doi.org/10.1053/j.semtcvs.2020.05.021 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_11 GBV_ILN_40 GBV_ILN_110 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2041 50.31 Technische Mechanik VZ 56.11 Baukonstruktion VZ AR 32 2020 4 630-634 5 |
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10.1053/j.semtcvs.2020.05.021 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001210.pica (DE-627)ELV052139468 (ELSEVIER)S1043-0679(20)30148-9 DE-627 ger DE-627 rakwb eng 333.7 VZ 570 VZ 690 VZ 690 VZ 50.31 bkl 56.11 bkl Pizano, Alejandro verfasserin aut Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management 2020transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. Hirji, Sameer A. oth Nguyen, Tom C. oth Enthalten in Elsevier Impact of the global economic crisis on metal levels in particulate matter (PM) at an urban area in the Cantabria Region (Northern Spain) 2011transfer abstract official publication of the American Association for Thoracic Surgery Amsterdam [u.a.] (DE-627)ELV025757334 volume:32 year:2020 number:4 pages:630-634 extent:5 https://doi.org/10.1053/j.semtcvs.2020.05.021 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_11 GBV_ILN_40 GBV_ILN_110 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2041 50.31 Technische Mechanik VZ 56.11 Baukonstruktion VZ AR 32 2020 4 630-634 5 |
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10.1053/j.semtcvs.2020.05.021 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001210.pica (DE-627)ELV052139468 (ELSEVIER)S1043-0679(20)30148-9 DE-627 ger DE-627 rakwb eng 333.7 VZ 570 VZ 690 VZ 690 VZ 50.31 bkl 56.11 bkl Pizano, Alejandro verfasserin aut Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management 2020transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. Hirji, Sameer A. oth Nguyen, Tom C. oth Enthalten in Elsevier Impact of the global economic crisis on metal levels in particulate matter (PM) at an urban area in the Cantabria Region (Northern Spain) 2011transfer abstract official publication of the American Association for Thoracic Surgery Amsterdam [u.a.] (DE-627)ELV025757334 volume:32 year:2020 number:4 pages:630-634 extent:5 https://doi.org/10.1053/j.semtcvs.2020.05.021 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_11 GBV_ILN_40 GBV_ILN_110 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2041 50.31 Technische Mechanik VZ 56.11 Baukonstruktion VZ AR 32 2020 4 630-634 5 |
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10.1053/j.semtcvs.2020.05.021 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001210.pica (DE-627)ELV052139468 (ELSEVIER)S1043-0679(20)30148-9 DE-627 ger DE-627 rakwb eng 333.7 VZ 570 VZ 690 VZ 690 VZ 50.31 bkl 56.11 bkl Pizano, Alejandro verfasserin aut Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management 2020transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. Hirji, Sameer A. oth Nguyen, Tom C. oth Enthalten in Elsevier Impact of the global economic crisis on metal levels in particulate matter (PM) at an urban area in the Cantabria Region (Northern Spain) 2011transfer abstract official publication of the American Association for Thoracic Surgery Amsterdam [u.a.] (DE-627)ELV025757334 volume:32 year:2020 number:4 pages:630-634 extent:5 https://doi.org/10.1053/j.semtcvs.2020.05.021 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_11 GBV_ILN_40 GBV_ILN_110 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2041 50.31 Technische Mechanik VZ 56.11 Baukonstruktion VZ AR 32 2020 4 630-634 5 |
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10.1053/j.semtcvs.2020.05.021 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001210.pica (DE-627)ELV052139468 (ELSEVIER)S1043-0679(20)30148-9 DE-627 ger DE-627 rakwb eng 333.7 VZ 570 VZ 690 VZ 690 VZ 50.31 bkl 56.11 bkl Pizano, Alejandro verfasserin aut Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management 2020transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. Hirji, Sameer A. oth Nguyen, Tom C. oth Enthalten in Elsevier Impact of the global economic crisis on metal levels in particulate matter (PM) at an urban area in the Cantabria Region (Northern Spain) 2011transfer abstract official publication of the American Association for Thoracic Surgery Amsterdam [u.a.] (DE-627)ELV025757334 volume:32 year:2020 number:4 pages:630-634 extent:5 https://doi.org/10.1053/j.semtcvs.2020.05.021 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_11 GBV_ILN_40 GBV_ILN_110 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2041 50.31 Technische Mechanik VZ 56.11 Baukonstruktion VZ AR 32 2020 4 630-634 5 |
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Severe Mitral Annular Calcification and Mitral Valve Surgery: An Algorithmic Approach to Management |
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The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. |
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The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. |
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The management of mitral valve dysfunction in the setting of substantial mitral annular calcification (MAC) remains controversial and is one of the most challenging problems in mitral valve surgery. The physiopathology of severe MAC is related to a combination of progressive, degenerative and active calcium deposition in the annulus that is often multifactorial, but largely attributable to aging and chronic disease conditions. Given the fact that overall life expectancy in the elderly population are increasing, it is imperative to understand contemporary and future therapeutic options since this MAC is likely going to be a frequent problem faced by the next generation of cardiac surgeons. This review provides a relevant synthesis of existing literature and aims to assess the efficacy of existing therapeutic choices for patients with mitral valve dysfunction and ‘big’ MAC with a goal of minimizing postoperative complications (e.g. left ventricular outflow tract obstruction, prosthetic paravalvular leak, valve embolization, and stroke) that can be achieved via a multidisciplinary heart team approach. |
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