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Current status of the treatment of degenerative mitral valve regurgitation

Coutinho, Gonçalo; Antunes, Manuel J.

Degenerative mitral valve disease (myxomatous degeneration or fibroelastic deficiency) is the most common indication for surgical referral to treat mitral regurgitation. Mitral valve repair is the procedure of choice whenever feasible and when the results are expected to be durable. Posterior leaflet prolapse is the commonest lesion, found in up to two-thirds of patients. It is the easiest to repair, particular...




The 2020 American College of Cardiology/ American Heart Association (ACC/AHA) G...

Gomes, Walter J; Almeida, Rui M S; Petrucci, Orlando; Antunes, Manuel J.; Albuquerque, Luciano C.


A Gauze-Pad Wrapping of the Heart Can Save a Patient's Life

Antunes, Manuel J.; Bernardo, João E.; Pinto, Carlos S.

We describe one case of iatrogenic rupture of the left ventricle after mitral valve replacement and myectomy of the outflow tract. The cause and site of the rupture could not be identified, neither from the internal nor from the external examination. After unsuccessful use of hemostatic patches in the surface of the ruptured area, wrapping of the ventricles with a surgical gauze pad controlled the hemorrhage, h...





The Global Burden of Rheumatic Heart Disease: Population-Related Differences (I...

Antunes, Manuel J.

Rheumatic heart disease (RHD) remains the most common cardiovascular disease in young adults and adolescents in need of heart surgery in low- and middle-income countries (LMICs). The mean age of patients is 20-25 years, often much younger. By contrast, the few patients with chronic RHD in developed countries present a mean age of around 55 years. It is absolutely fundamental to differentiate these two types of ...


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