Diagnosis and Treatment of Mitral Valve Disease
A Multidisciplinary Approach
- 1st Edition - July 22, 2022
- Imprint: Elsevier
- Editor: Scott Goldman
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 2 4 7 8 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 2 4 8 0 - 4
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 2 4 7 9 - 8
The only reference wholly dedicated to this complex topic, Diagnosis and Treatment of Mitral Valve Disease: A Multidisciplinary Approach provides authoritative, must-have… Read more
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Request a sales quoteThe only reference wholly dedicated to this complex topic, Diagnosis and Treatment of Mitral Valve Disease: A Multidisciplinary Approach provides authoritative, must-have information on the disease processes affecting the mitral valve, interpretation of diagnostic studies, and medical, transcatheter, and surgical treatments needed for mitral valve repair. Using a multidisciplinary approach, Drs. Scott Goldman and William Gray oversee a “who’s who” team of contributing authors who offer a holistic view of the modern treatment of mitral valve disease for today’s cardiac surgeons, cardiologists, and other cardiac team members.
Includes foundational chapters on anatomy and pathophysiology of the mitral valve—critically important topics when treating multiple complex and highly dynamic structures that function as a single unit.
Covers diagnostic tools, medical treatments, surgical therapies, and transcatheter therapies, and provides tips for developing a successful mitral valve program (with baseline thresholds, common pitfalls, and a checklist for hospitals).
Uses an accessible, quick-reference format that features takeaway chapter openers, bulleted key points, end-of-chapter summaries, a common nomenclature and glossary of terms, key references, and ample line drawings, photographs, tables, charts, and graphs throughout.
Incorporates the essential role of imaging in structural transcatheter interventions, including echocardiography and transcatheter edge-to-edge repair (TEER), and their uses in diagnostic work-up, procedural planning, intra-procedural guidance, and follow-up.
Features dozens of procedural videos, including transthoracic echocardiogram; cardiac MRI for mitral regurgitation; transcatheter mitral valve repair; transcatheter valvuloplasty; percutaneous mitral valve interventions; MitraClip™ positioning; and many more.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Cardiac surgeons who seek a comprehensive understanding of mitral valve disease: the basic clinical science, diagnostic tools, surgical and non-surgical treatments, and pre- and post-op evaluation. There are about 2,500 cardiac surgeons in our audience and a high percentage would want this content. The cardiologist market wouldn’t want this content as desperately as the surgeons, but that audience number is much higher (23k) and would likely see good sales numbers.
- Cover Image
- Title Page
- Copyright
- Contributors
- Preface
- Foreword
- Acknowledgements
- Table of Contents
- Video Contents
- Introduction
- Section 1 Foundations
- Chapter 1 Anatomy of the Mitral Valve
- CHAPTER OUTLINE
- LEARNING OUTCOMES
- INTRODUCTION
- MITRAL VALVE LEAFLETS
- 3D PERSPECTIVE
- SUB-VALVULAR APPARATUS
- LEFT ATRIUM
- FIBROUS SKELETON
- LEFT VENTRICULAR OUTFLOW TRACT
- CONDUCTION SYSTEM
- ANATOMICAL APPROACHES TO THE MITRAL VALVE
- REFERENCES
- Chapter 2 Pathophysiology of Mitral Valve Disease
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- NORMAL MITRAL VALVE PHYSIOLOGIC FUNCTION
- MITRAL REGURGITATION
- MITRAL STENOSIS
- MIXED DISEASE
- SEQUALAE OF MITRAL VALVE DISEASE
- SPECIAL POPULATIONS
- SUMMARY
- REFERENCES
- Chapter 3 ACC/AHA Guidelines and Treatment Options for Mitral Valve Disease
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- MITRAL REGURGITATION
- MITRAL STENOSIS
- REFERENCES
- Section 2 Diagnostic Tools
- Chapter 4 Physical Examination
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- THE MITRAL VALVE
- Chapter 5 Transthoracic Echocardiogram
- CHAPTER OUTLINE
- LEARNING OUTCOMES
- INTRODUCTION
- STANDARD MITRAL VALVE EVALUATION
- MITRAL REGURGITATION
- MITRAL STENOSIS
- SUMMARY
- REFERENCES
- Chapter 6 Diagnostic Tools: Transesophageal Echocardiography for Mitral Valve
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- GENERAL TRANSESOPHAGEAL ECHOCARDIOGRAPHY IMAGING PROTOCOL FOR THE MITRAL VALVE
- SPECIFIC TRANSESOPHAGEAL ECHOCARDIOGRAPHY IMAGING PROTOCOL FOR THE MITRAL VALVE INTERVENTIONS
- ASSESSMENT OF MITRAL REGURGITATION SEVERITY
- CONCLUSION
- REFERENCES
- Chapter 7 Special Imaging Considerations for Transcatheter Mitral Therapy
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- SCREENING
- PROCEDURAL IMAGING
- FOLLOW-UP IMAGING
- TRANSCATHETER MITRAL VALVE REPLACEMENT
- FUTURE DIRECTIONS
- REFERENCES
- Chapter 8 Cardiac Magnetic Resonance Imaging for Mitral Regurgitation
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- MITRAL REGURGITATION
- CARDIAC MAGNETIC RESONANCE TECHNIQUES USED FOR ASSESSMENT OF MITRAL REGURGITATION
- WHEN TO USE GADOLINIUM
- ECHOCARDIOGRAPHY VERSUS CARDIAC MAGNETIC RESONANCE
- ADVANTAGES OF CARDIAC MAGNETIC RESONANCE
- DISADVANTAGES OF CARDIAC MAGNETIC RESONANCE
- DISCORDANCE BETWEEN ECHO AND CARDIAC MAGNETIC RESONANCE
- MALIGNANT MITRAL VALVE PROLAPSE
- SUMMARY: WHEN TO CONSIDER CARDIAC MAGNETIC RESONANCE FOR MITRAL REGURGITATION
- REFERENCES
- Chapter 9 Computed Tomography Scan in Mitral Valve Disease and Its Treatments
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- CT ANATOMY OF THE MITRAL VALVE
- TECHNIQUE OF ACQUISITION, CONTRAST INJECTION PROTOCOL
- IMAGES POST-PROCESSING
- MITRAL ANNULAR DYNAMISM
- 3D ANNULAR SEGMENTATION
- CT IN EVALUATION OF MITRAL VALVE DISEASE
- CT IN EVALUATION OF MITRAL VALVE PROLAPSE
- APEX LOCALIZATION
- SEPTAL PUNCTURE
- FLUOROSCOPIC ANGLE PREDICTION
- LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION ASSESSMENT
- REFERENCES
- Chapter 10 Cardiac Catheterization
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- TECHNICAL ASPECTS OF CARDIAC CATHETERIZATION
- HEMODYNAMICS
- REFERENCES
- Section 3 Medical Treatment
- Chapter 11 Diuretics and Neurohormonal Medications
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- MITRAL STENOSIS
- ACUTE MITRAL REGURGITATION
- CHRONIC PRIMARY MITRAL REGURGITATION
- CHRONIC SECONDARY MITRAL REGURGITATION
- SUMMARY
- REFERENCES
- Chapter 12 Cardiac Rhythm Management Implantable Devices
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- CARDIAC IMPLANTABLE ELECTRICAL DEVICES
- SUMMARY
- REFERENCES
- Section 4 Surgical Therapies
- Chapter 13 Medical Devices and Instruments
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- MITRAL APPROACHES
- REFERENCES
- Chapter 14 Myocardial Protection and Perfusion Techniques in Mitral Valve Surgery
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- MYOCARDIAL PROTECTION AND CARDIOPLEGIA
- MYOCARDIAL PROTECTION AND HYPOTHERMIA
- CARDIOPLEGIC SOLUTIONS: ROUTES OF ADMINISTRATION
- BASIC CONCEPTS IN CARDIOPLEGIA-STANDARD VS MICROPLEGIA
- EXPEDITIOUS PROCEDURE (LIMITED ISCHEMIA)
- BEATING HEART (CARDIOPULMONARY BYPASS ASSIST) MITRAL VALVE SURGERY
- MINIMALLY INVASIVE CONSIDERATIONS
- PERFUSION TECHNIQUES
- SUMMARY
- REFERENCES
- Chapter 15 Mitral Operation: Sternotomy Approach
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- MEDIAN STERNOTOMY AND CANNULATION
- LEFT ATRIOTOMY AND MITRAL EXPOSURE
- VALVE INSPECTION AND REPAIR
- PLACEMENT OF ANNULOPLASTY SUTURES
- CHALLENGING EXPOSURE
- MITRAL ANNULAR CALCIFICATION
- RE-OPERATION
- CONCOMITANT OPERATIONS
- SUMMARY
- REFERENCES
- Chapter 16 Mitral Valve Surgery: Right Thoracotomy Approach
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- COMPARISON OF RIGHT THORACOTOMY TO STERNOTOMY
- SET UP
- OPERATIVE PROCEDURE
- SPECIAL CONSIDERATIONS
- SUMMARY
- REFERENCES
- Chapter 17 Mitral Operation: Endoscopic Approach
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- HISTORICAL PERSPECTIVE
- PATIENT SELECTION
- SETUP
- BYPASS MANAGEMENT
- EXPOSURE OF THE MITRAL VALVE
- ENDOSCOPIC APPROACH TO MITRAL REPAIR
- OPERATIONS IN SPECIAL POPULATIONS
- RE-OPERATIONS
- MITRAL REPLACEMENT AND CONCOMITANT OPERATIONS
- POSTOPERATIVE CARE AND OUTCOMES
- SUMMARY
- REFERENCES
- Chapter 18 Mitral Operation: Robotic Approach
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- HISTORICAL PERSPECTIVE
- INDICATIONS AND PREOPERATIVE ASSESSMENT
- CONTRAINDICATIONS
- SURGICAL TECHNIQUE
- SURGICAL COMPLICATIONS
- OUTCOMES
- REFERENCES
- Chapter 19 Surgical Repair of the Mitral Valve
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- CANDIDACY FOR VALVE REPAIR
- COMMON TECHNIQUES FOR MITRAL VALVE REPAIR
- OUR PHILOSOPHY FOR MITRAL VALVE REPAIR
- SUMMARY
- REFERENCES
- Chapter 20 Surgical Replacement of the Mitral Valve
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- INDICATIONS FOR SURGICAL MITRAL VALVE REPLACEMENT
- VALVE SELECTION
- OPERATIVE STEPS AND SURGICAL APPROACH TO MITRAL VALVE REPLACEMENT
- POSTOPERATIVE MANAGEMENT AND EARLY COMPLICATIONS
- LONG-TERM CARE AND FOLLOW-UP
- CONCLUSIONS/SUMMARY
- REFERENCES
- Chapter 21 Evaluation, Common Pitfalls, and Complications
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- PREOPERATIVE EVALUATION
- INTRAOPERATIVE EVALUATION
- COMPLICATIONS AFTER MITRAL VALVE SURGERY
- SUMMARY
- REFERENCES
- Section 5 Transcatheter Therapies
- Chapter 22 Transcatheter Mitral Valve Repair
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- CURRENT SURGICAL THERAPIES AND THEIR ASSOCIATION WITH CATHETER-BASED METHODS
- DISCUSSION OF FDA-APPROVED THERAPIES: INDICATIONS
- DISCUSSION OF FDA-APPROVED THERAPIES: PROCEDURAL DESCRIPTION
- APPROVED THERAPIES IN EUROPE
- REFERENCES
- Chapter 23 Transcatheter Valvuloplasty
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- PATIENT SELECTION
- SPECIAL POPULATIONS
- PROCEDURE
- PROCEDURAL STEPS
- COMPLICATIONS
- SHORT- AND LONG-TERM OUTCOMES
- SUMMARY
- REFERENCES
- Chapter 24 Transcatheter Mitral Valve Replacement
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- CURRENT INDICATIONS AND USE
- CHALLENGES WITH TRANSCATHETER MITRAL VALVE REPLACEMENT
- PATIENT SELECTION AND PRE-PROCEDURE PLANNING
- TRANSCATHETER APPROACHES FOR MITRAL VALVE REPLACEMENT
- TRANSSEPTAL APPROACH PROCEDURE
- TRANSAPICAL APPROACH PROCEDURE
- POST-PLACEMENT EVALUATION
- POST-TRANSCATHETER MITRAL VALVE REPLACEMENT FOLLOW-UP
- SUMMARY
- REFERENCES
- Chapter 25 Percutaneous Mitral Valve Interventions: Evaluation, Pitfalls, and Complications
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- PATIENT SELECTION AND EVALUATION
- PITFALLS AND COMPLICATIONS
- SUMMARY
- REFERENCES
- Section 6 Developing Successful Programs
- Chapter 26 Developing Successful Structural Heart Programs
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- THE MULTIDISCIPLINARY TEAM
- TECHNOLOGY
- FINANCIAL CONSIDERATIONS
- QUALITY IMPROVEMENT AND THE IMPORTANCE OF DATA
- RESEARCH
- CONCLUSION
- Chapter 27 Quality Improvement and Outcomes
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- ASSESSING QUALITY IN MITRAL VALVE INTERVENTION
- STRUCTURE
- PROCESS
- OUTCOMES
- REFERENCES
- Chapter 28 Establishing a Comprehensive Mitral Valve Program: Educating Patients and Referring Physicians
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- INTRODUCTION
- KEY COMPONENTS OF A COMPREHENSIVE MITRAL VALVE PROGRAM
- MARKETING STRATEGY
- OUTREACH
- STRUCTURAL HEART PHYSICIAN LIAISONS
- COMMUNICATION WITH REFERRING PHYSICIANS
- EXECUTING YOUR PLAN: HOSPITAL IN-REACH, THE FIRST STEP TO OUTREACH
- AVENUES FOR COLLABORATION
- PATIENT EDUCATION
- CONCLUSIONS
- SUMMARY
- REFERENCES
- Chapter 29 Ten Elements for a Successful Mitral Program
- CHAPTER OUTLINE
- LEARNING OBJECTIVES
- CARDIAC SURGERY EXPERTISE
- ADVANCED IMAGING
- INTERVENTIONAL CARDIOLOGIST WITH IMAGE INTERPRETATION SKILLS
- ADVANCED PRACTICE PROVIDERS AND NURSE NAVIGATOR(S)
- RESEARCH
- A FUNCTIONAL HEART TEAM
- MARKETING
- QUALITY OVERSIGHT
- INSTITUTIONAL SUPPORT
- LUCK
- Answers
- Index
- Edition: 1
- Published: July 22, 2022
- Imprint: Elsevier
- No. of pages: 352
- Language: English
- Hardback ISBN: 9780323824781
- eBook ISBN: 9780323824804
- eBook ISBN: 9780323824798
SG
Scott Goldman
Affiliations and expertise
Director Structural Heart Program
Lankenau Heart Institute
Professor of Surgery
Thomas Jefferson University