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A Near 100% Repair Rate for Mitral Valve Prolapse is Achievable in a Reference Center: Implications for Future Guidelines

Javier G. Castillo, MD, Anelechi C. Anyanwu, MD, Valentin Fuster, MD, PhD, and David H. Adams, MD

We have demonstrated that it is possible to repair practically all prolapsing degenerative mitral valves, with a low surgical risk and absence of residual significant mitral regurgitation in a high-volume reference center. Our study is unique because we have not selected patients and ha...

August 01, 2012 | The Journal of Thoracic and Cardiovascular Surgery
Rationale and Initial Experience With the Tri-Ad Adams Tricuspid Annuloplasty Ring

Federico Milla, MD, Javier G. Castillo, MD, Robin Varghese, MD, Joanna Chikwe, MD, Anelechi C. Anyanwu, MD, and David H. Adams, MD

Controversy exists regarding the indication and method of repair of functional tricuspid regurgitation (TR) in patients undergoing mitral valve surgery. Whereas the American College of Cardiology/American Heart Association guidelines recommend tricuspid repair in the setting of severe T...

April 01, 2012 | The Journal of Thoracic and Cardiovasculuar Surgery
The Year in Cardiovascular Surgery

David H. Adams, MD, Joanna Chikwe, MD, Farzan Filsoufi, MD and Anelechi C. Anyanwu, MD

The 2009 literature in cardiovascular surgery was characterized by several pivotal reports that will affect patient care and future trial design for years to come. The purpose of our annual review is to highlight key contributions in the field that focus on strategies and outcomes in ca...

March 29, 2011 | Journal of the American College of Cardiology
Degenerative Mitral Valve Regurgitation: Best Practice Revolution

David H. Adams, MD, Raphael Rosenhek, MD and Volkmar Falk, MD

Degenerative mitral valve disease often leads to leaflet prolapse due to chordal elongation or rupture, and resulting in mitral valve regurgitation. Guideline referral for surgical intervention centres primarily on symptoms and ventricular dysfunction. The recommended treatment for dege...

August 01, 2010 | European Heart Journal
Why Do Mitral Valve Repairs Fail?

Anelechi C. Anyanwu, MD and David H. Adams, MD

Mitral valve repairs, regardless of underlying etiology and the surgical techniques used to effect repair, can fail for 3 reasons: a deficient surgical technique causing immediate failure, a delayed failure of surgical technique, or the progression of native disease.

November 01, 2009 | Journal of the American Society of Echocardiography
State of the Art: Degenerative Mitral Valve Disease

Joanna Chikwe, MD and David H. Adams, MD

Mitral valve repair offers superior long-term survival, freedom from cardiac morbidity, and quality of life in patients with severe mitral regurgitation compared to medical management and mitral valve replacement; it is the treatment of choice in these patients. Mitral valve repair is t...

October 01, 2009 | Heart, Lung and Circulation
Valve Disease: Asymptomatic Mitral Regurgitation: Does Surgery Save Lives?

David H. Adams, MD and Anelechi C. Anyanwu, MD

Management of asymptomatic patients with severe mitral valve regurgitation is controversial-conservative surveillance and early mitral valve repair have both been advocated as reasonable approaches on the basis of divergent data. A new study by Kang et al. fuels this debate. However, ca...

May 01, 2009 | Nature Reviews Cardiology
Ischemic Mitral Regurgitation: Recent Advances

Anelechi C. Anyanwu, MD and David H. Adams, MD

This article reviews recent developments in the pathophysiology and management of ischemic mitral regurgitation. Recent imaging studies using three-dimensional echocardiography have added clarity to the mechanism responsible for this condition. This article also discusses recent studies...

December 01, 2008 | Current Treatment Options in Cardiovascular Medicine
Seeking a Higher Standard for Degenerative Mitral Valve Repair: Begin with Etiology

David H. Adams, MD and Anelechi C. Anyanwu, MD

Despite the widely held consensus that valve repair is the preferred surgical treatment for patients suffering from degenerative mitral valve disease, valve replacement for this condition remains all too prevalent. In the past few years interest in mitral valve repair has expanded among...

September 01, 2008 | The Journal of Thoracic and Cardiovascular Surgery
Degenerative Mitral Valve Regurgitation: Surgical Echocardiography

David H. Adams, MD, Anelechi C. Anyanwu, MD, Lissa Sugeng, MD, and Roberto M. Lang, MD

Echocardiography is an essential tool in managing patients with mitral regurgitation. It allows identification and precise summation of anatomic lesions that lead to valve dysfunction. In this article, we highlight important aspects of mitral valve anatomy and pathophysiology as they pe...

May 01, 2008 | Current Cardiology Reports

Mitral Valve Repair Center

at The Mount Sinai Hospital

A Near 100% Repair Rate for Mitral Valve Prolapse is Achievable in a Reference Center: Implications for Future Guidelines

Rationale and Initial Experience With the Tri-Ad Adams Tricuspid Annuloplasty Ring

The Year in Cardiovascular Surgery

Degenerative Mitral Valve Regurgitation: Best Practice Revolution

Why Do Mitral Valve Repairs Fail?

State of the Art: Degenerative Mitral Valve Disease

Valve Disease: Asymptomatic Mitral Regurgitation: Does Surgery Save Lives?

Ischemic Mitral Regurgitation: Recent Advances

Seeking a Higher Standard for Degenerative Mitral Valve Repair: Begin with Etiology

Degenerative Mitral Valve Regurgitation: Surgical Echocardiography