Catheter and method for evaluating competency of mitral valve

Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...

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604523, 604532, 606194, A61M 2500

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059351209

ABSTRACT:
A catheter for evaluating the competency of a mitral valve has a main lumen and at least one additional lumen for venting the area immediately adjacent the catheter. The vent lumen has multiple vent apertures provided along the length thereof to ensure thorough venting. Preferably, a third lumen fluidly connected to a pressure-sensing device is also integrally formed into the catheter. In practice, the distal end of the catheter is inserted through an access aperture formed in the aorta, passed through the aortic valve into the left ventricle. Pressurized fluid is injected into the left ventricle through the main lumen of the catheter. The fluid pressure within the left ventricle is monitored through the pressure-sensing lumen while the surgeon visually inspects the valve competency. The vents are utilized prior and subsequent to evaluating the competency of the valve for removing air and fluid from the area adjacent the catheter.

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Akins, et al., Mitral Valve Reconstruction Versus Replacement for Degenerative or Ischemic Mitral Regurgitation, Ann. Thorac. Surg. 1994, vol. 58, pp. 668-676.
Hetzer, et al., Intraoperative Assessment of the Reconstructed Mitral Valve Using a Low Presure Crystalloid Infusion, Thorac. Cardiovasc. Surg. 1981 vol. 29, pp. 100-104.
Grossi, et al., Severe Calcification Does Not Affect Long-Term Outccome of Mitral Valve Repair, Ann. Thorac. Surg. 1994, vol. 58, pp. 685-688.
Sundt, et al., Alternative Technique for Assessment and Repair of the Mitral Valve, Ann. Thorac. Surg. 1996, vol. 61, pp. 1552-1554.
Miyamoto, Transatrial Atrioventricular Valve Testing in the Beating, Fully Loaded Heart, Ann. Thorac. Surg. 1996, vol. 61, pp. 1265-1266.

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