Carpentier’s Reconstructive Valve Surgery presents you with authoritative guidance on reconstructive techniques for degenerative mitral valve disease. Alain Carpentier, MD, PhD—who pioneered the field—David H. Adams, MD; and Farzan Filsoufi, MD provide step-by-step instructions for each procedure and over 200 detailed anatomic drawings so that you can effectively apply the techniques of a master.
Apply the techniques and procedures of Dr. Alain Carpentier—pioneer of mitral valve reconstruction—to your practice.
View more than 200 detailed anatomic drawings that depict reconstruction procedures clearly.
Master each procedure using step-by-step instructions and a consistent chapter format.
Grasp the nuances of procedures thanks to "tips from the Master" and a section of questions and answers.
Tap into the knowledge and experience of leaders in the field of mitral valve repair and reconstruction.
Author(s): Alain Carpentier, David H. Adams, Farzan Filsoufi
Edition: 1
Publisher: Saunders
Year: 2011
Language: English
Pages: 363
Front cover......Page 1
Title page......Page 4
Copyright page......Page 5
PREFACE......Page 6
CONTENTS......Page 8
SECTION I: Fundamentals......Page 10
CHAPTER 1: Introduction......Page 12
FROM THE “BABEL SYNDROME” TO THE “PATHOPHYSIOLOGICAL TRIAD”......Page 14
LESIONS......Page 15
VALVE DYSFUNCTION: THE “FUNCTIONAL CLASSIFICATION”......Page 16
PREOPERATIVE CARE......Page 20
POSTOPERATIVE MANAGEMENT......Page 21
SURGICAL INSTRUMENTATION......Page 24
SURGICAL APPROACH Median Sternotomy......Page 25
LESS INVASIVE APPROACHES......Page 26
CARDIOPULMONARY BYPASS AND MYOCARDIAL PROTECTION......Page 27
DE-AIRING......Page 29
CARDIOPULMONARY BYPASS WEANING......Page 31
SECTION II: Mitral Valve Reconstruction......Page 34
CHAPTER 5: Surgical Anatomy and Physiology......Page 36
THE ATRIO-VALVULAR JUNCTION......Page 37
THE LEAFLETS......Page 39
THE SUSPENSION SYSTEM......Page 42
MITRAL VALVE FUNCTION......Page 45
VALVULAR LESIONS......Page 52
VALVULAR DYSFUNCTION: THE “FUNCTIONAL CLASSIFICATION”......Page 54
DYSFUNCTIONS AND LESIONS......Page 55
HEMODYNAMIC CONSEQUENCES......Page 58
SURGICAL INDICATIONS......Page 59
MITRAL VALVE EXPOSURE......Page 64
VALVE ANALYSIS......Page 65
FUNDAMENTAL PRINCIPLES OF VALVE RECONSTRUCTION......Page 68
CHAPTER 8: Techniques in Type I Dysfunction......Page 72
THE TWO GOLDEN RELATIONSHIPS......Page 73
REMODELING PROSTHETIC RINGS......Page 74
RING SELECTION......Page 75
RING IMPLANTATION......Page 77
SALINE TEST......Page 87
LEAFLET PERFORATION......Page 91
ANNULAR DECALCIFICATION......Page 94
ANNULAR RECONSTRUCTION......Page 95
ANNULAR RECONSTRUCTION USING PERICARDIAL TISSUE......Page 100
CHAPTER 10: Techniques in Type II Anterior Leafl et Prolapse......Page 104
LIMITED PROLAPSE......Page 105
EXTENSIVE PROLAPSE CAUSED BY CHORDAE RUPTURE......Page 107
EXTENSIVE PROLAPSE CAUSED BY CHORDAE ELONGATION......Page 112
EXTENSIVE PROLAPSE CAUSED BY PAPILLARY MUSCLE RUPTURE OR ELONGATION......Page 117
LIMITED PROLAPSE......Page 124
LIMITED PROLAPSE......Page 136
EXTENSIVE PROLAPSE RESULTING FROM CHORDAE RUPTURE......Page 137
EXTENSIVE PROLAPSE RESULTING FROM CHORDAE ELONGATION......Page 140
BILEAFLET PROLAPSE......Page 141
VALVE STENOSIS......Page 144
VALVE REGURGITATION......Page 148
SEGMENTAL VENTRICULAR DILATATION......Page 158
SALINE TEST......Page 161
ADJUNCT TECHNIQUES......Page 162
PATHOPHYSIOLOGY......Page 166
CLINICAL PRESENTATION......Page 167
SURGICAL TECHNIQUES......Page 169
RESULTS......Page 171
LEFT ATRIAL THROMBUS FORMATION......Page 176
ATRIAL FIBRILLATION......Page 177
SECTION III: Tricuspid Valve Reconstruction......Page 182
THE ATRIO-VALVULAR JUNCTION......Page 184
THE LEAFLETS......Page 187
THE SUBVALVULAR APPARATUS......Page 188
TRICUSPID VALVE FUNCTION......Page 189
ETIOLOGY......Page 192
LESIONS......Page 194
DYSFUNCTIONS: THE “FUNCTIONAL CLASSIFICATION”......Page 195
SURGICAL INDICATIONS......Page 197
APPROACH AND INTRAOPERATIVE VALVE ANALYSIS......Page 202
TYPE I TRICUSPID REGURGITATION......Page 203
TYPE II TRICUSPID REGURGITATION......Page 209
TYPE IIIA TRICUSPID STENOSIS AND/OR REGURGITATION......Page 211
CLINICAL RESULTS......Page 212
SECTION IV: Aortic Valve Reconstruction......Page 216
THE AORTIC ROOT......Page 218
THE AORTIC LEAFLETS......Page 221
AORTIC VALVE FUNCTION......Page 223
ETIOLOGY......Page 226
DYSFUNCTION: THE “FUNCTIONAL CLASSIFICATION”......Page 227
SURGICAL INDICATIONS......Page 228
TYPE I—AORTIC VALVE REGURGITATION......Page 230
TYPE II—AORTIC VALVE REGURGITATION......Page 232
MULTIPLE VALVE OPERATION......Page 233
CLINICAL RESULTS......Page 234
SECTION V: Disease-Specific Approach......Page 236
CLINICAL PRESENTATION......Page 238
PATHOPHYSIOLOGY: CARPENTIER’S FUNCTIONAL CLASSIFICATION......Page 239
SURGICAL MANAGEMENT......Page 245
RESULTS......Page 252
SURGICAL ANATOMY......Page 256
CLINICAL PRESENTATION......Page 258
SURGICAL TECHNIQUE......Page 259
RESULTS......Page 263
CLINICAL PRESENTATION......Page 268
PATHOLOGY......Page 269
SURGICAL INDICATIONS......Page 270
SURGICAL MANAGEMENT......Page 271
RESULTS......Page 272
BARLOW’S DISEASE......Page 276
MARFAN’S DISEASE......Page 280
FIBROELASTIC DEFICIENCY......Page 282
RESULTS......Page 284
CONCLUSION......Page 285
PATHOPHYSIOLOGY......Page 288
SURGICAL MANAGEMENT......Page 289
RESULTS......Page 291
CLINICAL PRESENTATION......Page 294
PATHOLOGY......Page 295
SURGICAL INDICATIONS......Page 296
RESULTS......Page 297
PATHOPHYSIOLOGY......Page 300
ECHOCARDIOGRAPHY AND CORONARY ANGIOGRAPHY......Page 301
SURGICAL MANAGEMENT......Page 302
SURGICAL TECHNIQUES......Page 303
RESULTS......Page 304
SURGICAL MANAGEMENT......Page 306
RESULTS......Page 307
ANATOMY AND PATHOPHYSIOLOGY......Page 310
CLINICAL PRESENTATION......Page 311
RECONSTRUCTIVE TECHNIQUES......Page 312
RESULTS......Page 314
SURGICAL MANAGEMENT......Page 316
RESULTS......Page 317
TRAUMATIC MITRAL REGURGITATION FOLLOWING PERCUTANEOUS MITRAL DILATATION......Page 320
TRAUMATIC AORTIC VALVE REGURGITATION......Page 321
PAPILLARY FIBROELASTOMA......Page 324
MYXOMA......Page 325
RHEUMATOID ARTHRITIS......Page 328
ANKYLOSING SPONDYLITIS......Page 329
CHAPTER 36: Carcinoid Valvular Disease......Page 330
RESULTS......Page 331
SURGICAL MANAGEMENT......Page 334
CHAPTER 38: Medication-Induced Valvulopathy......Page 338
MITRAL VALVE REOPERATIONS......Page 340
TRICUSPID VALVE REOPERATIONS......Page 343
SECTION VI: Transfer of Knowledge......Page 346
A TEAM EFFORT......Page 348
TRANSFER OF KNOWLEDGE......Page 349
A NEW COMMUNICATION AGE......Page 350
GLOSSARY......Page 352
INDEX......Page 354
