Transventricular mitral valve repair in patients with acute forms of ischemic mitral regurgitation
| Autor: | Kemal Korkmaz, Hikmet Selcuk Gedik, Kerim Cagli, B. Budak, Umit Yener, Gokhan Lafci |
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| Přispěvatelé: | Hitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Mitral Valve Annuloplasty medicine.medical_treatment Myocardial Infarction Echocar-Diography Transesophageal Annuloplasty Ventricular Dysfunction Left/Surgery Ventriculotomy Transventricular Repair Ventricular Septal Rupture Papillary Muscles/Surgery Chordate Tendineae/Surgery Mitral valve annuloplasty Internal medicine Mitral valve medicine Myocardial Ischemia/Surgery Humans Case Series cardiovascular diseases Papillary muscle Aged Aged 80 and over Mitral valve repair business.industry Transventricular Mitral Valve Insufficiency Middle Aged medicine.disease Echocardiography Doppler Color Surgery Treatment Outcome medicine.anatomical_structure Acute Disease Mitral Valve Insufficiency/Surgery Cardiology cardiovascular system Mitral Valve Myocardial infarction complications Female Myocardial Infarction/ Complications Cardiology and Cardiovascular Medicine business |
| Popis: | Transventricular mitral valve surgery combined with left ventricular restoration avoids atriotomy and provides a larger operative field. We describe a series of 5 patients in whom we performed transventricular mitral valve repair by various techniques, such as band annuloplasty, papillary muscle reattachment, chordal cutting, and edge-to-edge repair. The more acute forms of ischemic mitral regurgitation, as found in our patients, can coexist with post-myocardial infarction contained rupture or post-myocardial infarction ventricular septal rupture. Because these patients already have an indication for ventriculotomy, concomitant transventricular repair of the mitral valve can render a separate atriotomy unnecessary and thereby shorten the duration of cardiopulmonary bypass. Moreover, in patients with acute presentations, the absence of atrial dilation (this last associated with chronic cases) might make transventricular repair a better choice than the more difficult atrial approach. |
| Databáze: | OpenAIRE |
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