Several factors have contributed to the evolution of new techniques for mitral valvuloplasty, including changing patient demographics and increased use of intraoperative transesophageal echocardiography (IO E).1–3 Demographically, there are fewer patients with rheumatic disease and more patients with mitral valve disorders that are amenable to repair, such as primary mitral valve degenerative disease or mitral regurgitation (MR ) resulting from coronary artery disease. Concurrently, improved diagnostics by physicians skilled in using IO E have increased the potential candidates for mitral valve repair — for example, patients whose mitral valve disease can be diagnosed at the time of coronary artery bypass surgery. Information derived from IO E data can help determine the cause and severity of the mitral valve disease, assess the feasibility of performing a repair, and determine the success of the repair or if further intervention is needed. Medical causes of postoperative MR (systolic anterior motion of the anterior mitral leaflet or the chordae) must be ruled out in advance.4–6

 " /> Several factors have contributed to the evolution of new techniques for mitral valvuloplasty, including changing patient demographics and increased use of intraoperative transesophageal echocardiography (IO E).1–3 Demographically, there are fewer patients with rheumatic disease and more patients with mitral valve disorders that are amenable to repair, such as primary mitral valve degenerative disease or mitral regurgitation (MR ) resulting from coronary artery disease. Concurrently, improved diagnostics by physicians skilled in using IO E have increased the potential candidates for mitral valve repair — for example, patients whose mitral valve disease can be diagnosed at the time of coronary artery bypass surgery. Information derived from IO E data can help determine the cause and severity of the mitral valve disease, assess the feasibility of performing a repair, and determine the success of the repair or if further intervention is needed. Medical causes of postoperative MR (systolic anterior motion of the anterior mitral leaflet or the chordae) must be ruled out in advance.4–6

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Methodist Journal

FEATURED GUEST EDITOR

ISSUE INTRO

The Burgeoning Field of Cardio-Oncology

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RECOGNITIONS

Barry H. Trachtenberg Leads Issue on Cardio-Oncology

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REVIEW ARTICLES See More

Heart Failure in Relation to Anthracyclines and Other Chemotherapies

Heart Failure in Relation to Tumor-Targeted Therapies and Immunotherapies

The Role of Cardiovascular Imaging and Serum Biomarkers in Identifying Cardiotoxicity Related to Cancer Therapeutics

Prevention and Treatment of Chemotherapy-Induced Cardiotoxicity

Cardiovascular Toxicities of Radiation Therapy

Electrophysiologic Complications in Cancer Patients

Vascular Toxicity in Patients with Cancer: Is There a Recipe to Clarify Treatment?

Future Directions in Cardio-Oncology

CASE REPORTS See More

A Rare Case of Pancreatitis-Induced Thrombosis of the Aorta and Superior Mesenteric Artery

Anomalous Origin of the Right Coronary Artery from the Left Main Coronary Artery in the Setting of Critical Bicuspid Aortic Valve Stenosis

Simultaneous Transfemoral Mitral and Tricuspid Valve in Ring Implantation: First Case Report with Edwards Sapien 3 Valve

Uneventful Follow-Up 2 Years after Endovascular Treatment of a High Flow Iatrogenic Aortocaval Fistula Causing Pulmonary Hypertension and Right Heart Failure

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

Do Not Pass Flow: Microvascular Obstruction on Cardiac Magnetic Resonance After Reinfarction Following Primary Percutaneous Coronary Intervention

CLINICAL PERSPECTIVES See More

EXCERPTA

Cardio-Oncology, Then and Now: An Interview with Barry Trachtenberg

POINTS TO REMEMBER

Onconephrology: An Evolving Field

POINTS TO REMEMBER

Herbal Nephropathy

EXCERPTA

Rolling the Dice on Red Yeast Rice

EDITORIALS

Letter to the Editor in Response to “Cardiac Autonomic Neuropathy in Diabetes Mellitus”

Author Profile

Stephen H. Little, M.D.

Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas


Articles By Stephen H. Little, M.D.