Author:
ZHURKO S.A., ,GAMZAEV A.B.,AMINOV K.M.,PIMENOVA P.V., , ,
Abstract
Objective: To present the first-hand results of a modified mitral annuloplasty (MA) with an autopericardial strip (APS) in degenerative mitral valve disease (DMVD). Methods: Fifty-three patients with DMVD (mean age, 54.9±9.5 years (36-78 years); n=32 men (60.4%) and n=21women (39.6%)) undergoing MA with an APS, between January 2017 and January 2020 were retrospectively studied. In the overwhelming majority of cases, triangular and quadrangular resections of the P2 segment were performed. In addition, in some cases, neochords were implanted to the A2 segment. Intraoperatively, the result of MA was considered satisfactory if, according to transoesophageal echocardiography, the degree of mitral regurgitation (MR) did not exceed grade 1. Results: No in-hospital mortality was observed. One female patient had an early relapse caused by the rupture of one of the neochords at the A2 segment. However, the MR did not exceed grade 2, and the patient was actively followed up. Conclusion: Individual APS length selection avoids overcorrecting and achieves adequate systolic and diastolic mitral valve performance. Keywords: Annuloplasty, mitral regurgitation, autopericardium, mitral regurgitation.
Publisher
Avicenna Tajik State Medical University
Subject
Psychiatry and Mental health
Reference17 articles.
1. 1. Lawrie GM. Surgical treatment of mitral regurgitation. Current Opinion in Cardiology. 2020;35(5):491-9. Available from: https://doi.org/10.1097/ HCO.0000000000000772
2. 2. Salvador L, Cavarretta E, Minniti G, Di Angelantonio E, Salandin V, Frati G, et al. Autologous pericardium annuloplasty: A "physiological" mitral valve repair. J Cardiovasc Surg (Torino). 2014;55(6):831-9.
3. Korrektsiya mitral'noy ne-dostatochnosti pri bolezni Barlou [Correction of mitral regurgitation in Barlou disease];Nazarov;Patologiya krovoobrashcheniya i kardiokhirurgiya,2014
4. 4. Bokeriya LA, Gudkova RG. Serdechno-sosudistaya khirurgiya - 2012 [Cardiovascular Surgery - 2012]. Bolezni i vrozhdyonnye anomalii sistemy krooobrashcheniya. 2013. p. 60-1.
5. 5. Zhumabaev SA, Kaliev TB, Namazbekov MN, Urmanbetov KS, Asanaliev MI, Tursunbekova GT. Sravnitel'naya otsenka neposredstvennykh rezul'tatov protezirovaniya mitral'nogo klapana po klassicheskoy metodike s sokhraneniem zadney stvorki [Comparative assessment of immediate results of mitral valve repair according to the classical technique with posterior leaflet preservation]. Angiologiya i sosudistaya khirurgiya. 2020;26(1):129-33. Available from: https://doi.org/10.33529/ANGI02020104