Mitral valve repair: moving towards a personalized ring

Autor: Antonios Pitsis, Timotheos Kelpis, Efstratios Theofilogiannakos, Nikolaos Tsotsolis, Harisios Boudoulas, Konstantinos Dean Boudoulas
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 14, Iss 1, Pp 1-7 (2019)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-019-0926-7
Popis: Abstract Background Mitral valve repair with the use of an annuloplasty ring is the procedure of choice in patients with significant mitral regurgitation (MR) due to floppy mitral valve (FMV)/mitral valve prolapse (MVP). The mitral annular size, shape and motion may vary substantially among patients and thus, commercially available rings may not be suitable for each individual patient. Methods A “personalized ring” (PR) was easily constructed in the operating room using a Dacron sheet and titanium ligating clips to custom fit to each individual mitral annulus shape and size. There were 127 patients with severe MR due to FMV/MVP that underwent mitral valve repair surgery; 58 patients received a PR and 69 patients received a commercial Carpentier-Edwards Physio II ring. The patient records were retrospectively analysed. Results There were no surgical deaths. In-hospital length-of-stay and blood transfusions were not statistically different between the two groups. Mitral valve area was greater (p
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