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Titlebook: Edge-to-Edge Mitral Repair; From a Surgical to a Ottavio Alfieri,Michele De Bonis,Giovanni La Canna Book 2015 Springer International Publis

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Clinical Results of the Percutaneous Edge-to-Edge Repair: Lights and Shadows,severe MR is unfavorable, leading to worsening left ventricular failure, pulmonary hypertension, atrial fibrillation, and death. The most common etiology of organic MR in Western countries is degenerative MR due to leaflet tissue alteration known as myxomatous degeneration or fibroelastic deficiency
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the procedure are respected and the precise patient selection criteria are observed, results with this type of repair are similar or even superior to those obtained with other reconstructive techniques.
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The Principle: From a Computational Model to Clinical Validation, hemodynamics a reliable method to assess transmitral flow dynamics? What is the risk of leaflet tear? What is the risk of generating mitral stenosis when a ring is added to the Alfieri technique? Is turbulent flow associated with higher risk of thromboembolism?
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Edge-to-Edge Technique for Mitral Regurgitation Associated with Hypertrophic Cardiomyopathy,e of flow exerted on the distal part of the anterior leaflet. Moreover, an organic MR mechanism is also possible, due to a too long anterior leaflet or abnormal anatomy or position of the papillary muscles. Taken together, these mechanisms are responsible for severe MR in more than 30 % of cases of HCM in surgical series [3].
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