Robotic mitral valve repair for rheumatic mitral stenosis and regurgitation: a case report
| Autor: | Satsuki Fukushima, Tomoyuki Fujita, Takashi Kakuta, Shin Yajima |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Rheumatic mitral stenosis Regurgitation (circulation) Case Reports 030204 cardiovascular system & hematology 03 medical and health sciences Rheumatic mitral regurgitation 0302 clinical medicine Mitral valve stenosis Posterior leaflet Mitral valve Internal medicine Case report Medicine Robotic surgery cardiovascular diseases Rheumatic heart disease Mitral valve repair Robotic mitral valve repair business.industry Congenital Heart Disease medicine.disease Stenosis medicine.anatomical_structure 030228 respiratory system Cardiology cardiovascular system Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Background Rheumatic mitral valve (MV) disease is the major cause of congestive cardiac failure in children and young adults, particularly in developing countries. Mitral valve repair with minimum prosthetic material is the gold standard treatment for this condition. However, MV repair for rheumatic MV disease is known to be technically demanding. Case summary A 27-year-old woman without a history of cardiac disease presented with dyspnoea on exertion. Echocardiography revealed rheumatic severe mitral stenosis and regurgitation, with thickening of the bileaflets, doming of the anterior leaflet, shortening of the posterior leaflet, fusions of the lateral and particularly the medial commissure, and enlargement of the mitral annulus. We successfully performed robot-assisted MV repair with bicommissural release, patch augmentation of the two leaflets, and implantation of an originally sized partial band. Discussion Robotic MV repair can contribute to precise valve inspection and operative procedures. This approach seems feasible for complex rheumatic MV disease particularly in young patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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