Energy dynamics of the intraventricular vortex after mitral valve surgery.

Abstract:

:Mitral valve morphology after mitral valve surgery affects postoperative intraventricular flow patterns and long-term cardiac performance. We visualized ventricular flow by echocardiography vector flow mapping (VFM) to reveal the impact of different mitral valve procedures. Eleven cases of mechanical mitral valve replacement (nine in the anti-anatomical and two in the anatomical position), three bioprosthetic mitral valve replacements, and four mitral valve repairs were evaluated. The mean age at the procedure was 57.4 ± 17.8 year, and the echocardiography VFM in the apical long-axis view was performed 119.9 ± 126.7 months later. Flow energy loss (EL), kinetic pressure (KP), and the flow energy efficiency ratio (EL/KP) were measured. The cases with MVR in the anatomical position and with valve repair had normal vortex directionality ("Clockwise"; N = 6), whereas those with MVR in the anti-anatomical position and with a bioprosthetic mitral valve had the vortex in the opposite direction ("Counterclockwise"; N = 12). During diastole, vortex direction had no effect on EL ("Clockwise": 0.080 ± 0.025 W/m; "Counterclockwise": 0.083 ± 0.048 W/m; P = 0.31) or KP ("Clockwise": 0.117 ± 0.021 N; "Counterclockwise": 0.099 ± 0.057 N; P = 0.023). However, during systole, the EL/KP ratio was significantly higher in the "Counterclockwise" vortex than that in the "Clockwise" vortex (1.056 ± 0.463 vs. 0.617 ± 0.158; P = 0.009). MVP and MVR with a mechanical valve in the anatomical position preserve the physiological vortex, whereas MVR with a mechanical valve in the anti-anatomical position and a bioprosthetic mitral valve generate inefficient vortex flow patterns, resulting in a potential increase in excessive cardiac workload.

journal_name

Heart Vessels

journal_title

Heart and vessels

authors

Nakashima K,Itatani K,Kitamura T,Oka N,Horai T,Miyazaki S,Nie M,Miyaji K

doi

10.1007/s00380-017-0967-6

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1123-1129

issue

9

eissn

0910-8327

issn

1615-2573

pii

10.1007/s00380-017-0967-6

journal_volume

32

pub_type

杂志文章
  • Impact of pharmacological spasm provocation test in patients with a history of syncope.

    abstract::Coronary artery spasm is involved in the pathogenesis of various cardiac disorders. We investigated patients with a history of syncope who underwent elective coronary angiography. We retrospectively analyzed 5781 consecutive patients who had diagnostic or follow-up angiography during a 26-year period. During this peri...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-017-1046-8

    authors: Sueda S,Kohno H

    更新日期:2018-02-01 00:00:00

  • Correction to: High-intensity aerobic interval training can lead to improvement in skeletal muscle power among in-hospital patients with advanced heart failure.

    abstract::In the original publication of the article, the unit of hand in Fig. 2 was wrongly given as "N/kg" instead of "kg". ...

    journal_title:Heart and vessels

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00380-018-1132-6

    authors: Taya M,Amiya E,Hatano M,Maki H,Nitta D,Saito A,Tsuji M,Hosoya Y,Minatsuki S,Nakayama A,Fujiwara T,Konishi Y,Yokota K,Watanabe M,Morita H,Haga N,Komuro I

    更新日期:2018-07-01 00:00:00

  • The quantitative aspect of photoplethysmography revised.

    abstract::The overall transfer function of a photoplethysmograph (PPG) converting changes in intravascular volume to changes in recorder pen deflection was investigated. The specifications of the apparatus working as a red cell densitometer were assessed in vitro, and it was found that PPG output is a logarithmic function of re...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF02128146

    authors: Jespersen LT,Pedersen OL

    更新日期:1986-01-01 00:00:00

  • Changes in morphology of elastin fibers during development of the tunica intima of monkey aorta.

    abstract::The normal development of elastin fibers in the thoracic aorta was studied in fetal, young, and adult monkeys. Tissue was examined by scanning electron microscopy (SEM) after NaOH treatment and by transmission electron microscopy (TEM). The NaOH treatment of fixed tissues effectively removed collagen fibers and enable...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF01745239

    authors: Sato F,Shimada T,Kitamura H,Campbell GR,Ogata J

    更新日期:1994-01-01 00:00:00

  • Comparison of mitral competence after mitral repair with papillary muscle approximation versus papillary muscle relocation for functional mitral regurgitation.

    abstract::The purpose of this study was to evaluate the surgical results of papillary muscle approximation (PMA) and papillary muscle relocation (PMR) for functional mitral regurgitation (FMR) and to compare the effects of both procedures on the change in mitral regurgitation (MR) and echocardiogram parameters associated with t...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-017-1038-8

    authors: Furukawa K,Yano M,Nakamura E,Matsuyama M,Nishimura M,Kawagoe K,Nakamura K

    更新日期:2018-01-01 00:00:00

  • Reduction of inorganic phosphate-induced human smooth muscle cells calcification by inhibition of protein kinase A and p38 mitogen-activated protein kinase.

    abstract::High levels of serum phosphate are associated with calcification of human smooth muscle cells (HSMCs). We investigated whether inhibition of protein kinase A (PKA) and mitogen-activated protein kinase (MAPK) signals [p38, extracellular signal-regulated kinase (ERK), and c-Jun N-terminal kinase (JNK)] can reduce inorga...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-013-0427-x

    authors: Kang JH,Toita R,Asai D,Yamaoka T,Murata M

    更新日期:2014-09-01 00:00:00

  • Diagnostic value of electrocardiographic P-wave characteristics in atrial fibrillation recurrence and tachycardia-induced cardiomyopathy after catheter ablation.

    abstract::Abnormal P-wave characteristics were reportedly associated with left ventricular interstitial fibrosis as defined by cardiac magnetic resonance images. The objective of this study is to investigate the utility of P-wave characteristics to predict atrial fibrillation (AF) recurrence and the recovery of left ventricular...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-018-1179-4

    authors: Doi A,Takagi M,Katayama H,Yoshiyama T,Hayashi Y,Tatsumi H,Yoshiyama M

    更新日期:2018-11-01 00:00:00

  • Systolic pressure-volume area (PVA) as the energy of contraction in Starling's law of the heart.

    abstract::We have theoretically proposed "systolic pressure-volume area" (PVA) as a measure of total mechanical energy generated by ventricular contraction. We then experimentally showed that PVA closely correlates with left ventricular oxygen consumption (Vo2) regardless of ventricular loading conditions in a stable contractil...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF02058751

    authors: Suga H,Goto Y,Futaki S,Kawaguchi O,Yaku H,Hata K,Takasago T

    更新日期:1991-01-01 00:00:00

  • Reperfusion through balloon catheter to minimize myocardial infarction during the interval between failed percutaneous transluminal coronary angioplasty and emergency coronary artery bypass grafting.

    abstract::A 65-year-old man was admitted with chest pain. A diagnosis of spastic angina was made because of symptoms of recurrent anginal attacks associated with ST-segment elevations in the electrocardiogram. A selective coronary arteriogram revealed a 90% diameter narrowing of the proximal left anterior descending coronary ar...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF02058361

    authors: Kusachi S,Takata S,Iwasaki K,Nishiyama O,Kita T,Namba H,Hata T,Taniguchi G,Saito D,Haraoka S

    更新日期:1989-01-01 00:00:00

  • Correction to: Increased prevalence of cerebral microbleeds in patients with low left ventricular systolic function.

    abstract::In the original publication of the article, under the results section, the following sentence. ...

    journal_title:Heart and vessels

    pub_type: 已发布勘误

    doi:10.1007/s00380-020-01574-4

    authors: Watanabe T,Kanzaki Y,Yamauchi Y,Ito T,Nishida Y,Yamamura K,Komori T,Sohmiya K,Hoshiga M

    更新日期:2020-05-01 00:00:00

  • Increased circulating CD3+/CD31+ T cells in patients with acute coronary syndrome.

    abstract::The number of circulating endothelial progenitor cells (EPCs) is considered to be a surrogate marker for coronary artery disease (CAD). Recent studies have identified a novel T-cell subset labeled with CD3(+)/CD31(+), which is necessary for EPC colony formation and constitutes the central cluster. However, the clinica...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-012-0284-z

    authors: Kakizaki M,Nobori K,Watanabe H,Iino K,Ishida M,Ito H

    更新日期:2013-09-01 00:00:00

  • Utility of myocardial fractional flow reserve for prediction of restenosis following sirolimus-eluting stent implantation.

    abstract::Drug-eluting stents reduce restenosis due to neointimal growth suppression. Considering long-term outcomes, it is both difficult and important to predict drug-eluting stent restenosis. Thus, this study was designed to examine the utility of myocardial fractional flow reserve (FFR) as a predictor of sirolimus-eluting s...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-010-0105-1

    authors: Ishii H,Kataoka T,Kobayashi Y,Tsumori T,Takeshita H,Matsumoto R,Shirai N,Nishioka H,Hasegawa T,Nakata S,Shimada Y,Ehara S,Muro T,Yoshiyama M

    更新日期:2011-11-01 00:00:00

  • Prognostic impact of mitral L-wave in patients with hypertrophic cardiomyopathy without risk factors for sudden cardiac death.

    abstract::Hypertrophic cardiomyopathy (HCM) with severe diastolic dysfunction is a major cause of heart failure and sudden cardiac death (SCD) associated with lethal arrhythmia. Although various risk factors for cardiac events have been reported in HCM patients, previous studies have reported that some HCM patients exhibit eith...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-019-01440-y

    authors: Sugiura Y,Morimoto R,Aoki S,Yamaguchi S,Haga T,Kuwayama T,Yokoi T,Hiraiwa H,Kondo T,Watanabe N,Kano N,Fukaya K,Sawamura A,Okumura T,Murohara T

    更新日期:2019-12-01 00:00:00

  • Clinical characteristics and prognostic factors in acute coronary syndrome patients complicated with cardiogenic shock in Japan: analysis from the Japanese Circulation Society Cardiovascular Shock Registry.

    abstract::Cardiogenic shock frequently leads to death even with intensive treatment. Although the leading cause of cardiogenic shock is acute coronary syndrome (ACS), the clinical characteristics and the prognosis of ACS with cardiogenic shock in the present era still remain to be elucidated. We analyzed clinical characteristic...

    journal_title:Heart and vessels

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00380-019-01354-9

    authors: Sakamoto K,Matoba T,Mohri M,Ueki Y,Tsujita Y,Yamasaki M,Tanaka N,Hokama Y,Fukutomi M,Hashiba K,Fukuhara R,Suwa S,Matsuura H,Tachibana E,Yonemoto N,Nagao K

    更新日期:2019-08-01 00:00:00

  • Surgical management of a uterine leiomyoma extending through the inferior vena cava into the right heart.

    abstract::We present a case of a 38-year-old woman with intravenous leiomyomatosis originating from the uterus involving the right ventricle, right atrium, inferior vena cava, and iliac veins. Tumors in the heart and the inferior vena cava were removed using cardiopulmonary bypass and circulatory arrest; 10 days after the cardi...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s003800200049

    authors: Gaudino M,Spatuzza P,Snider F,Luciani N,Cina G,Possati G

    更新日期:2002-12-01 00:00:00

  • Chelation of copper reduces inhibition by oxidized lipoproteins of endothelium-dependent relaxation in porcine coronary arteries.

    abstract::We examined the effect of dialyzing oxidized low-density lipoprotein (oLDL) against Krebs-Ringer solution, in the absence (yielding d-oLDL) or presence (yielding EDTA-oLDL) of ethylenediamine tetraacetic acid (EDTA), to investigate the mechanism that underlies the inhibition of endothelium-dependent relaxation (EDR) b...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF01745093

    authors: Hayashi T,Ishikawa T,Kuzuya M,Naito M,Yamada K,Asai K,Hidaka H,Iguchi A

    更新日期:1994-01-01 00:00:00

  • Suppressive effects of adaptive servo-ventilation on ventricular premature complexes with attenuation of sympathetic nervous activity in heart failure patients with sleep-disordered breathing.

    abstract::Ventricular arrhythmias play a critical role in chronic heart failure (CHF) and are associated with adverse clinical outcomes. Sleep-disordered breathing (SDB) is associated with arrhythmias and/or a poor prognosis in CHF. Adaptive servo-ventilation (ASV) is a ventilatory support system designed to normalize ventilati...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-013-0394-2

    authors: Iwaya S,Yoshihisa A,Nodera M,Owada T,Yamada S,Sato T,Suzuki S,Yamaki T,Sugimoto K,Kunii H,Nakazato K,Suzuki H,Saitoh S,Takeishi Y

    更新日期:2014-07-01 00:00:00

  • Clinical significance of discrepant mid-wall late gadolinium enhancement in patients with nonischemic dilated cardiomyopathy.

    abstract::A drawback of visual assessment for late gadolinium enhancement (LGE) on cardiac magnetic resonance (CMR) is the subjectivity and reproducibility of the results. The aim of this study was to investigate the relationship between left ventricular (LV) reverse remodeling in response to optimal pharmacotherapies and the d...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-018-1196-3

    authors: Ehara S,Matsumoto K,Kitada R,Nishimura S,Shimada K,Yoshiyama M

    更新日期:2018-12-01 00:00:00

  • Efficacy and safety of novel epicardial circumferential left atrial ablation with pulmonary vein isolation in sustained atrial fibrillation.

    abstract::The aim of this study was to examine the efficacy and safety of this novel epicardial circumferential left atrial ablation (CLAA) with pulmonary vein isolation (PVI) in sustained atrial fibrillation (AF). Thirty domestic pigs were divided equally into 3 groups: AF without ablation (AF group), AF with PVI (PVI group), ...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-014-0594-4

    authors: Jiang Z,Yin H,He Y,Ma N,Tang M,Liu H,Ding F,Mei J

    更新日期:2015-09-01 00:00:00

  • Assessment of trough rivaroxaban concentrations on markers of coagulation activation in nonvalvular atrial fibrillation population.

    abstract::Whether trough-phase rivaroxaban concentrations provide sufficient anticoagulation needs more study. We evaluated levels of coagulation activation markers in the trough concentration phase in nonvalvular atrial fibrillation (NVAF) patients, and the correlation between these markers and rivaroxaban concentration. Fifty...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-016-0912-0

    authors: Kitagawa F,Ishii J,Hiramitsu S,Takahashi H,Okuyama R,Kawai H,Muramatsu T,Harada M,Motoyama S,Naruse H,Matsui S,Sarai M,Hayashi M,Watanabe E,Izawa H,Ozaki Y

    更新日期:2017-05-01 00:00:00

  • Cardiovascular medicine heart failure (CVM-HF) index as prognostic model for candidates to MitraClip therapy.

    abstract::Transcatheter MitraClip repair is a new tool for the management of severe mitral regurgitation in patients at very high risk for conventional surgery. Aim of our study was reporting one-year clinical outcomes in candidates to MitraClip procedures, divided into three groups according to the cardiovascular medicine hear...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-015-0772-z

    authors: Ussia GP,Cammalleri V,Mazzotta E,Pascuzzo G,Muscoli S,Marchei M,Macrini M,Anceschi A,Romeo F

    更新日期:2016-10-01 00:00:00

  • Is the coronary flow velocity reserve improvement after aortic valve replacement for aortic stenosis transient? Results of a 3-year follow-up.

    abstract::The coronary flow velocity reserve (CFR) is decreased in patients with aortic valve stenosis (AS). The aim of the present prospective study was to examine the CFR in AS patients with normal epicardial coronary arteries during a 3-year follow-up of aortic valve replacement (AVR). A total of 30 AS patients (17 women and...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-005-0883-z

    authors: Nemes A,Forster T,Kovács Z,Csanády M

    更新日期:2006-05-01 00:00:00

  • Modification of pacing-induced alterations in diastolic properties of the regional myocardium by nifedipine in patients with coronary artery disease.

    abstract::The effects of nifedipine on regional dysfunction during pacing-induced ischemia were studied in eight patients with coronary artery disease. Single-plane left ventriculograms were obtained using a high-fidelity micromanometer-tipped catheter in the control and post-pacing periods both before and after pretreatment wi...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF02073655

    authors: Nonogi H,Sasayama S,Miyazaki S,Asanoi H,Yamanishi K,Kawai C,Eiho S,Kuwahara M

    更新日期:1985-11-01 00:00:00

  • Earliest pulmonary vein potential-guided cryoballoon ablation for atrial fibrillation.

    abstract::No studies have evaluated both the time-to-isolation (TTI) and the sequence of pulmonary vein (PV) potentials in cryoballoon ablation (CBA) for atrial fibrillation (AF). This study aimed to prospectively evaluate the acute results of pulmonary vein isolation (PVI) using a novel CBA technique-the earliest potential (EP...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-019-01471-5

    authors: Mizutani Y,Kanashiro M,Makino Y,Satake A,Suzuki W,Kurobe M,Mizutani K,Ichimiya H,Uchida Y,Watanabe J,Ichimiya S,Inden Y,Murohara T

    更新日期:2020-02-01 00:00:00

  • Warfarin-induced skin necrosis after open heart surgery due to protein S and C deficiency.

    abstract::Warfarin-induced skin necrosis is the rare but potentially devastating complication of anticoagulant therapy and commonly occurs in previously undetected C- and S-protein deficient patients. Because routine preoperative examination does not include protein C and S level measurement, detection of these patients preoper...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-006-0935-z

    authors: Oz BS,Asgun F,Oz K,Kuralay E,Tatar H

    更新日期:2007-01-01 00:00:00

  • Recent therapeutic strategy for sustained ventricular tachycardia in Japan.

    abstract::We investigated the therapeutic principles and strategies to treat sustained ventricular tachycardia (SVT) as five leading medical institutions in the Tokyo area and summarized the present situation of SVT treatment in Japan. Catheter ablation (ABL) has been almost established to be effective in idiopathic ventricular...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:

    authors: Ogura H,Katoh T,Kasanuki H,Iinuma H,Ozawa Y,Majima S,Hayakawa H

    更新日期:1997-01-01 00:00:00

  • Measurement of aortic diameters and detection of asymptomatic aortic aneurysms in a mass screening program using a mobile helical computed tomography unit.

    abstract::In a mass chest computed tomography (CT) screening using a mobile helical CT unit, we measured the aortic diameter at three segments to confirm standard values and also attempted to detect any asymptomatic aortic aneurysms. The population screened in the present study consisted of 6971 subjects (3847 men and 3124 wome...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s380-002-8315-1

    authors: Itani Y,Watanabe S,Masuda Y,Hanamura K,Asakura K,Sone S,Sunami Y,Miyamoto T

    更新日期:2002-01-01 00:00:00

  • Real-world outcomes of rivaroxaban treatment in elderly Japanese patients with nonvalvular atrial fibrillation.

    abstract::Direct oral anticoagulants (DOACs), such as rivaroxaban, reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). However, it is still unclear whether the stroke reduction benefit outweighs the bleeding risk in elderly Japanese patients with NVAF. The Xarelto Post-Author...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-019-01487-x

    authors: Kitazono T,Ikeda T,Ogawa S,Nakagawara J,Minematsu K,Miyamoto S,Murakawa Y,Cavaliere M,Hayashi Y,Kidani Y,Okayama Y,Sunaya T,Sato S,Yamanaka S

    更新日期:2020-03-01 00:00:00

  • Late gadolinium enhancement on cardiac magnetic resonance predicts coronary vasomotor abnormality and myocardial lactate production in patients with chronic heart failure.

    abstract::Myocardial fibrosis and microvascular dysfunction are key determinants of outcome in heart failure (HF); we examined their relationship in patients with HF. Our study included 61 consecutive patients with HF but without coronary stenosis. All underwent gadolinium-enhanced cardiac magnetic resonance to evaluate late ga...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/s00380-016-0816-z

    authors: Uemura T,Yamamuro M,Kaikita K,Takashio S,Utsunomiya D,Hirakawa K,Nakayama M,Sakamoto K,Yamamoto E,Tsujita K,Kojima S,Hokimoto S,Yamashita Y,Ogawa H

    更新日期:2016-12-01 00:00:00

  • Low-density lipoproteins inhibit histamine and NaNO2 relaxations of the coronary vasculature and reduce contractile function in isolated rat hearts.

    abstract::In the present study we examined the action of native and oxidized low-density lipoproteins (LDL) on coronary vascular and cardiac function and ultrastructure in rat hearts perfused isovolumically in the Langendorff mode. Responses of the coronary resistance vessels to the endothelium-dependent vasodilator, histamine,...

    journal_title:Heart and vessels

    pub_type: 杂志文章

    doi:10.1007/BF01744904

    authors: Harrison GJ,Jordan LR,Selley ML,Willis RJ

    更新日期:1995-01-01 00:00:00