[Troublesome factors in mitral valve repair for mitral valve regurgitation].

Limitations in the long-term results of medical treatment for mitral regurgitation are well recognized, but the advances in its surgical repair have produced good results. Therefore, early surgical intervention has been the focus of treatment in Europe and America. Increased surgical intervention depends on the development of technical skills in mitral reconstruction. This study investigated presurgical factors making surgical reconstruction difficult in 103 patients who underwent mitral operations performed from April 1994 to September 1997 in our hospital. Records were reviewed retrospectively for etiology, type of operation, and the immediate result of operation. The etiology of mitral regurgitation was prolapse in 65 patients (63%), restriction in 14, normal in 11, infectious endocarditis in 10, and others in 3. The type of prolapse involved the anterior leaflet in 22 patients (34%), posterior in 28 (43%), and both leaflets in 15 (23%). Valve repair was attempted in 74 patients, of which 16 were switched to valve replacement during operation. These included anterior leaflet prolapse in 9 patients, posterior leaflet in 1, both leaflets in 3, restriction in 2 and infectious endocarditis in 1. The success rate for reconstruction of anterior leaflet prolapse was not high. The cause of mitral regurgitation was mostly prolapse of the mitral valve, in our country as well as in Europe and America. Prolapsed posterior leaflet is much more common in Europe and America, and there is a high success rate reported for its valve reconstruction. In contrast, this study cannot recommend earlier surgical intervention because of difficult repair for anterior leaflet prolapse.

Optical element converting linear polarization into circular-tangential polarization.

A new optical element capable of converting linear polarization into circular-tangential polarization (i.e., the electric vector is along the tangential direction to a circle) is proposed and demonstrated. The conversion characteristics of the fabricated element are evaluated, and the magnitude of aberration produced by the element is shown to be insignificant.

Fabrication of a concentric-circular focusing grating coupler by a conic-wave-front interference method and light-convergence experiments using the coupler.

An interference method utilizing conic-wave-front light for the fabrication of a concentric-circular and chirped grating is proposed. The design method and fabrication of an interference lens that generates conic-wave-front light are also shown. A focusing element is constructed from a concentric-circular grating coupler with a 0.4-mm diameter and a concentric-circular focusing grating coupler with an annular aperture of 2-mm focal length and 2.0-4.0-mm diameter. Light-convergence experiments using the focusing element were able to obtain a focusing spot of 0.5 µm × 0.7 µm at half-intensity widths for a wavelength of 820 nm in combination with liquid-crystal polarization elements.

Optical head employing a concentric-circular focusing grating coupler.

An optical head employing a concentric-circular grating coupler (CGC) and a concentric-circular focusing grating coupler (CFGC) is proposed, and its operating principle and characteristics are reported. Satisfaction with a prerequisite for the head, i.e., the removal of aberrations caused by deviations in wavelength and the effective index, is theoretically achieved by application of the concept of optimization of an annular aperture. With CGC and CFGC fabricated by an electron-beam-writing method, we experimentally confirmed its fundamental characteristics of light input, waveguiding, output, and convergence, with an elliptical focusing spot converging at half-intensity widths of 1.8 and 4.0µm.