Department of Cardiothoracic Surgery
Mount Sinai Medical Center
1190 Fifth Ave., Box 1028
New York, NY 10029
Tel: 866-648-7255
Tel: 212-659-6820

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The Mitral Valve :

• Mitral Valve Function
• Understanding Mitral Valve Anatomy
• Leaflets
• Commissures
• The Zone of Coaptation
• Mitral Annulus
• Chordae Tendinae
• Papillary Muscles and the Left Ventricle

Understanding Degenerative Disease (The Pathophysiologic Triad)

Barlow Mitral Valve Disease

Fibroelastic Deficiency

Making the Diagnosis

Mitral Valve Surgery:

• Mitral Valve Repair
• When to Consider Surgery
• Indications for Surgery
• Golden Rules
• Valve Analysis
• Posterior Leaflet Prolapse
• Anterior Leaflet Prolapse
• Remodeling the Annulus
• Intra-operative Assessment of Repair
• Minimally Invasive Surgery

Who should perform the operation?

Outcomes of Mitral Valve Repair:

• Understanding Outcomes of Mitral Valve Repair
• Operative Mortality and Morbidity
• Mitral Valve Repair vs. Replacement Rates
• Long Term Survival
• Failures and Re-operations
• Quality of Life

Comparison with Alternative Treatments:

• Non-surgical Management
• Mitral Valve Replacement

Re-Operations and Re-Repairs:

• Expertise in Re-Operations
• Methods of Re-Operations

A Conversation About Mitral Valve Repair:

• “Fix the source of the problem...”
• “We wanted a surgeon that does a lot of these...”
• “Somebody passionate about what they do...”
• “The best you can find...”
• “The reasonable thing to do...”
• “The best decision for us...”
• “I looked at it for myself...”
• “Doing nothing just didn't seem to be an option...”
• “I'm not ready to sit down yet...”

Our Team:

• Team Spotlight
• Dr. David H. Adams
• Dr. Anelechi Anyanwu
• Dr. Joanna Chikwe
• Dr. Khanh Nguyen
• Dr. Mario J. Garcia - Cardiology
• Dr. Jill Kalman - Cardiology
• Dr. David L. Reich - Anesthesiology
• Dr. Gregory W. Fischer - Anesthesiology
• Dr. Corey Scurlock - Critical Care
• Dr. Ricardo Lazala - Perfusion Services
• Intensivists
• Dr. Stafford R. Broumand - Plastic Surgeon
• Physicians Assistants
• Magnet Award Winning Nurses
• Scheduling Coordinators

Our Patients

What to Expect:

• Consultation
• Before Surgery
• Anesthesia
• The Operation
• Monitoring Cerebral Oxygenation During Cardiac Surgery
• After Surgery
• Discharge Instructions

Common Questions:

• Questions From Patients
• Questions to Ask Your Mitral Valve Repair Surgeon

Staying at Mount Sinai:

• Preparing for Your Visit
• Mount Sinai Services
• Accommodations
• Directions

Carpentier-Edwards Physio II:

• First Implantation
• Launch Announcement
• Indications for Use

Video Presentations:

• 2008 Heart Valve Summit - Reference Mitral Valve Surgery
• 2008 Heart Valve Summit - Mitral Valve Anatomy from the Operating Room
• 2008 AATS Annual Meeting - Spectrum of Degenerative Disease Affecting the Mitral Valve
• 2008 AATS Annual Meeting - Critically Interpreting the Mitral Valve Repair Literature
• 2008 STS Annual Meeting - Leaflet Reconstruction with Glutaraldehyde-fixed Autologous Pericardium in Complex Mitral Valve Repair
• 40th Annual New York Cardiovascular Symposium - Quality Improvement in Mitral Valve Disease: Where Do We Go From Here?
• 39th Annual New York Cardiovascular Symposium - What the Cardiologist and Cardiac Surgeon should know about Degenerative Mitral Valve Disease
• 2006 AATS Annual Meeting - Surgical Therapy of Ischemic MR
• 2006 STS Annual Meeting - Larger Annuloplasty Rings Facilitate Mitral Valve Repair in Barlow's Syndrome

Surgical Videos:

• Case Study 1 - Fibroelastic Deficiency Repair
• Case Study 2 - Complex Barlow's Mitral Valve Repair
• Case Study 3 - Complex Barlow's Mitral Valve Repair
• Case Study - Repair of Fibroelastic Deficiency

Live 3D Transesophageal Echocardiography (TEE)

Publications:

• Mitral Valve Articles
• Tricuspid Valve Articles
• General Cardiac
• Books

Academic Events - Dr. Adams

Reference Center Referrals

Other Resources

Press:

• Mitral Valve Repair Reference Center - Press Page
• New York magazine - Best Doctors 2008
• Inside Mount Sinai - Class of 2008 Celebrates Commencement
• U.S. News & World Report - The Mitral Valve Question
• Inside Mount Sinai - Dr. Alain Carpentier Wins Lasker Award

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