Etiologic classification of degenerative mitral valve disease: Barlow's disease and fibroelastic deficiency.

Barlow's disease and fibroelastic deficiency are the two dominant forms of degenerative mitral valve disease and have unique differentiating characteristics on clinical and echocardiographic assessment. Preoperative differentiation of patients by both cardiologists and surgeons is important because the techniques, surgical skill, and expertise required to achieve a repair vary among these etiological subsets. Barlow's patients often have multiple complex lesions, thus high rates of repair are only likely to be achieved by a reference mitral valve repair surgeon. In contrast, many forms of fibroelastic disease should be repaired at a high rate by experienced general cardiac surgeons. In this article, we highlight the differentiation of Barlow's disease and fibroelastic deficiency.

[1]  B. Keogh,et al.  Mitral repair best practice: proposed standards , 2005, Heart.

[2]  A Piwnica,et al.  Reconstructive surgery of mitral valve incompetence: ten-year appraisal. , 1980, The Journal of thoracic and cardiovascular surgery.

[3]  S. Gulotta,et al.  The Syndrome of Systolic Click, Murmur, and Mitral Valve Prolapse‐A Cardiomyopathy? , 1974, Circulation.

[4]  R. Suri Large Annuloplasty Rings Facilitate Mitral Valve Repair in Barlow's Disease , 2008 .

[5]  C. Wooley,et al.  Spectrum of structural abnormalities in floppy mitral valve echocardiographic evaluation. , 1996, American heart journal.

[6]  A. Pomerance Ballooning deformity (mucoid degeneration) of atrioventricular valves. , 1969, British heart journal.

[7]  Willem Flameng,et al.  Recurrence of Mitral Valve Regurgitation After Mitral Valve Repair in Degenerative Valve Disease , 2003, Circulation.

[8]  A. Carpentier,et al.  Left Ventricular Outflow Tract Obstruction After Mitral Valve Repair Results of the Sliding Leaflet Technique , 1993, Circulation.

[9]  J. Griffith MID-SYSTOLIC AND LATE-SYSTOLIC MITRAL MURMURS.1 , 1892 .

[10]  D. Adams,et al.  Pitfalls and limitations in measuring and interpreting the outcomes of mitral valve repair. , 2006, The Journal of thoracic and cardiovascular surgery.

[11]  Reid Jv Mid-systolic clicks. , 1961 .

[12]  M. Silver,et al.  Morphology of a prolapsed posterior mitral valve leaflet. , 1970, American heart journal.

[13]  G Chatellier,et al.  Very Long-Term Results (More Than 20 Years) of Valve Repair With Carpentier’s Techniques in Nonrheumatic Mitral Valve Insufficiency , 2001, Circulation.

[14]  A. Carpentier,et al.  Correlation between clinical and histologic patterns of degenerative mitral valve insufficiency: a histomorphometric study of 130 excised segments. , 1999, Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology.

[15]  J. Barlow,et al.  Billowing, floppy, prolapsed or flail mitral valves? , 1985, The American journal of cardiology.

[16]  J. Le Heuzey,et al.  Mapping of a first locus for autosomal dominant myxomatous mitral-valve prolapse to chromosome 16p11.2-p12.1. , 1999, American journal of human genetics.

[17]  A. Berrebi,et al.  The "physio-ring": an advanced concept in mitral valve annuloplasty. , 1995, The Annals of thoracic surgery.

[18]  B. Griffin,et al.  Mitral valve prolapse , 2005, The Lancet.

[19]  R. Read,et al.  Symptomatic Valvular Myxomatous Transformation (The Floppy Valve Syndrome): A Possible Forme Fruste of the Marfan Syndrome , 1965, Circulation.

[20]  M. Enriquez-Sarano,et al.  Natural History of Asymptomatic Mitral Valve Prolapse in the Community , 2002, Circulation.

[21]  S. Armstrong,et al.  A comparison of outcomes of mitral valve repair for degenerative disease with posterior, anterior, and bileaflet prolapse. , 2005, The Journal of thoracic and cardiovascular surgery.

[22]  A. Carpentier,et al.  Extensive calcification of the mitral valve anulus: pathology and surgical management. , 1996, The Journal of thoracic and cardiovascular surgery.

[23]  A. Carpentier,et al.  Cardiac valve surgery--the "French correction". , 1983, The Journal of thoracic and cardiovascular surgery.

[24]  J. O. Humphries,et al.  Prolapse of the mitral valve: clinical and cine-angiocardiographic findings. , 1966, British heart journal.

[25]  H. Rakowski,et al.  Mitral valve prolapse. , 1976, Annual review of medicine.

[26]  M. Enriquez-Sarano,et al.  Quantitative Determinants of the Outcome of Asymptomatic Mitral Regurgitation , 2005 .

[27]  R. O'rourke,et al.  Prolapsing mitral valve leaflet syndrome. , 1975, The Western journal of medicine.

[28]  V. McKusick,et al.  The differentiation of organic and "innocent" systolic murmurs. , 1962, Progress in cardiovascular diseases.

[29]  P. Marchand,et al.  The significance of late systolic murmurs , 1963 .

[30]  J. Gorman,et al.  The emerging role of three-dimensional echocardiography in mitral valve repair. , 2006, Seminars in thoracic and cardiovascular surgery.

[31]  J. Reid Mid-systolic clicks. , 1961, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.