[Valve reconstruction for mitral valve insufficiency. Aspects of surgical technique].
In mitral regurgitation it is undoubtful that reconstruction of the valve aims in functional better results with low risk for the patients. Due to patho-anatomic diversity it is not only necessary to reconstruct individually chordae and leaflets but also to choose selectively the kind for a proper annular reconstruction method. If after repair of the moving parts of the valve there is a central reflux persistent an annular reconstruction should be performed such as De Vega-plasty, whereas an excentric regurgitation makes the implantation of an annular ring mandatory. By this differential approach the risk for persistence of mitral insufficiency is diminished postoperatively.
Birnbaum
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Klinik und Poliklinik für Herz-, Thorax- und herznahe Gefässchirurgie, Klinikum, Universität Regensburg.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002815:Chordae Tendineae / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006350:Heart Valve Prosthesis; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology / Q000503:physiopathology / Q000517:prevention & control*; D012008:Recurrence; D013536:Suture Techniques; D016896:Treatment Outcome
Klappenrekonstruktion wegen Mitralinsuffizienz. Aspekte zur chirurgischen Technik.