Surgical correction of mitral insufficiency due to integrity damage of chordal-papillary continium: comparison of long-term results
Keywords:
mitral valve plastics, mitral valve replacement (MVR), chordal-papillary apparatus, long-term results
Abstract
The authors present their results concerning surgical treatment of 520 patients using surgical correction of mitral insufficiency due to integrity damage of chordal-papillary continium. All the patients were operated using cardiopulmonary bypass in the period from 01.01.2006-31.12.2015 in different departments of the Mykola Amosov National Institute of Cardiovascular Surgery (Academy of Medical Sciences of Ukraine). All the patients examined were divided into two groups – group A (with mitral valve plastics) and group B (with mitral valve replacement, MVR). Long-term results became known for 487 patients (93.8% of patients discharged).
References
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2. Добротин С.С, Богданевич СВ., Земскова Е.П. Пути улучшения результатов протезирования митрального клапана сохранением задней створки и подкапанных структур// Вестник хирургии им. Грекова. – 2000. – №3. – С. 12–15.
3. Приходько В.П., Логаненко Д.И., Михайлов А.В., Молчанов А.Н., Медведев А.П., Широков М.В. Варианты хирургического лечения посттравматических пороков сердца // Патология кровообращения и кардиохирургия. - 2005. - № 4. - С. 18-22.
4. Соколов В.В. Имплантация протезов митрального клапана с сохранением подклапанных структур: Автореф.дис. ... канд.мед.наук. -М.,1990
5. Alfieri, O. and Lapenna, E. Systolic anterior motion after mitral valve repair: where do we stand in 2015? Eur J Cardiothorac Surg. 2015; 48: 344–346
6. Chan, V., Ahrari, A., Ruel, M., Elmistekawy, E., Hynes, M., and Mesana, T.G. Perioperative deaths after mitral valve operations may be overestimated by contemporary risk models. Ann Thorac Surg. 2014;98: 605–610.
7. David, T.E., Armstrong, S., and Ivanov, J. Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: a 25-year experience. J Thorac Cardiovasc Surg. 2013; 145: 1563–1569
8. De Bonis, M., Lapenna, E., Taramasso, M. et al. Is commissural closure associated with mitral annuloplastics a durable technique for the treatment of mitral regurgitation? A long-term (≤15 years) clinical and echocardiographic study. J Thorac Cardiovasc Surg. 2014; 147: 1900–1906.
9. Wang, Z., Zhou, C., Gu, H., Zheng, Z., Hu, S. Mitral valve repair versus replacement in patients with rheumatic heart disease. J Heart Valve Dis. 2013;22:333–339.
Published
2017-12-04
How to Cite
BolshakО. О., Mnishenko, V. I., TrembovetskaО. М., BeshlyagaV. М., Leoshko, I. V., & Popov, V. V. (2017). Surgical correction of mitral insufficiency due to integrity damage of chordal-papillary continium: comparison of long-term results. Ukrainian Journal of Cardiovascular Surgery, (3 (29), 42-47. https://doi.org/10.30702/ujcvs/17.29/08(042-047)
Section
ACQUIRED HEART DISEASES
