Cardiovascular contraindications to pregnancy
Severe pulmonary hypertension
Severe obstructive valvular lesions
Severe cyanotic congenital heart disease
Marfan syndrome with dilated aorta
Chordal preservation during MVR
Chordal preservation is important in maintaining LV function after surgery
Severe calcification and subvalvar fibrosis make chordal preservation during surgery difficult
Causes of significant cardiac failure after MVR
Pulmonary hypertension
Organic tricuspid regurgitation
Other valvular lesions
Associated coronary artery disease
Infective endocarditis
Rheumatic actvity