Hartford HealthCare Heart & Vascular Institute
Hartford HealthCare Heart & Vascular Institute
Hartford, CT 06102
Hartford HealthCare Heart & Vascular Institute
The Hartford HealthCare Heart & Vascular Institute, a national leader in cardiovascular disease prevention, treatment, surgery and research, cares for more patients and performs more advanced cardiac procedures than any other cardiac program in Connecticut with doctors using the most innovative technology available to provide the very best, personalized care for patients.
With 55 locations, seven acute care hospitals and nearly 400 providers across Connecticut and Western Rhode Island, the Heart & Vascular Institute is nationally recognized for the care we provide in our communities—with direct access to the region’s top tertiary center for the most advanced care when needed.
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The Ring Advancement Technique (The Imbrication Technique) for systolic anterior motion (SAM)
Systolic anterior motion (SAM) is a common and troublesome complication of mitral valve repair and it occurs in 10-15% of cases. SAM is defined as the displacement of the anterior mitral leaflet towards the left ventricular outflow tract causing left ventricular outflow tract obstruction. Part of any repair, is the placement of a ring to reshape and reduce the size of the annulus. The decrease in the annular surface area pushes the anterior leaflet into the left ventricular outflow tract causing obstruction.
In order to avoid SAM, the posterior leaflet needs to be reduced in height to create more space for the anterior leaflet. The classic treatment, called sliding leaflet technique, resects portions of the posterior leaflet. The technique is efficacious but is also time consuming and technically demanding. The ring advancement technique, described by Dr. Hashim, consists in excluding the excess posterior leaflet, placing it outside of the ring. This allows for more room within the annuls for the anterior leaflet. It requires no resection.
The treatment of mitral valve disease with severe mitral annular calcification (MAC) is challenging for surgeons. Surgical mitral valve replacement in patients with MAC is linked to increased cardiovascular mortality and morbidity because of the heightened risk of atrioventricular groove rupture, circumflex artery injury, perivalvular leak, or systemic embolism. These risks can occur during or following traditional debridement or removal of the MAC. Many patients with severe MAC are deemed inoperable.
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Meet Our Heart Valve Specialists
Hartford HealthCare Heart & Vascular Institute has assembled a special team of heart valve specialists that are committed to getting patients the best results. Our team consists of many leading surgeons and cardiologists that you can learn more about by clicking the links below:
Have A Question? Call Megan at (860) 530-6606
Hi, my name is Megan Parent, RN and I am the heart valve clinic coordinator for Hartford HealthCare Heart & Vascular Institute.
I have been with the practice for six years. My role at the Hartford HealthCare Heart & Vascular Institute includes scheduling patients in a timely manner and ensuring that all patient records and imaging studies are available for our medical team to evaluate with you at the time of your office visit. I also assess patients for special needs and make any arrangements necessary to accommodate those needs. ... Read more.
Clinical References For Our Patients
To help you learn more about Hartford HealthCare Heart & Vascular Institute, here are references for you:
Schedule Appointment
To schedule an appointment, you can:
- Call (860) 530-6606 right now
- Request an appointment by clicking here.
Our hospital is located at 80 Seymour Street, Suite 704, Hartford, CT. For driving directions to this office, please click the map below.
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Hi, my name is Megan Parent, RN and I am the heart valve clinic coordinator for Hartford HealthCare Heart & Vascular Institute.
