ABSTRACT
Considerable mitral regurgitation of dysplastic etiology was corrected in 63 patients using the method of continuous suture annuloplasty. The operations were fulfilled by the access through median sternotomy, under conditions of extracorporeal circulation, blood isothermal cardioplegy. Immediate results show effectiveness of correction of mitral insufficiency and safety of using the method due to the absence of lethal outcomes, thromboembolic complications and the necessity of another surgical correction in the nearest postoperative period.
Subject(s)
Mitral Valve Annuloplasty , Mitral Valve Insufficiency , Mitral Valve/surgery , Postoperative Complications/prevention & control , Suture Techniques/adverse effects , Thromboembolism , Adult , Aged , Extracorporeal Circulation/methods , Female , Humans , Male , Middle Aged , Mitral Valve/pathology , Mitral Valve/physiopathology , Mitral Valve Annuloplasty/adverse effects , Mitral Valve Annuloplasty/methods , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/pathology , Mitral Valve Insufficiency/physiopathology , Mitral Valve Insufficiency/surgery , Mitral Valve Prolapse/complications , Survival Analysis , Thromboembolism/etiology , Thromboembolism/prevention & control , Treatment OutcomeABSTRACT
In the present-day cardiosurgery there is no doubt that in case of possible plastic operation on the mitral valve the latter must be preserved. In the current literature there are no investigations which could convincingly prove advantages of any single group of techniques of constriction of the fibrous ring when performing mitral reconstructions. The aim of the work was to compare the direct results of reconstructive operations on the mitral valve with the using of three different means of constriction of the fibrous ring. It was found that all the three types of plasty of the mitral valve fibrous ring gave good direct results. Nevertheless an analysis of long-term results is necessary for the assessment of effectiveness of mitral reconstructions in the long-term postoperative period.
Subject(s)
Cardiac Surgical Procedures/methods , Mitral Valve Insufficiency/surgery , Mitral Valve/surgery , Echocardiography, Transesophageal , Follow-Up Studies , Heart Ventricles/diagnostic imaging , Humans , Middle Aged , Mitral Valve/diagnostic imaging , Mitral Valve Insufficiency/diagnostic imaging , Retrospective Studies , Treatment OutcomeABSTRACT
Congestive heart failure with intact or moderately lowered left ventricular pump function is caused in some patients by mitral regurgitation. Consequences are dilation of the left atrium, pulmonary hypertension, tricuspid regurgitation, thromboembolic complications, rhythm disturbances, elevated risk of sudden death. Efficacy of drug treatment, electroimpulse therapy is little and surgery is the method of choice. One of alternatives is cardiac autotransplantation. A successful experience of application of this technique is presented. Cardiac autotransplantation was carried out in a female patient with moderately lowered left ventricular contractile function, extreme degree of mitral and tricuspid regurgitation, atriomegaly, atrial fibrillation and pronounced signs of congestive heart failure.
Subject(s)
Heart Failure/surgery , Heart Transplantation , Female , Heart Failure/diagnostic imaging , Heart Failure/etiology , Humans , Middle Aged , Mitral Valve Insufficiency/complications , Radiography , Transplantation, Autologous , Treatment OutcomeABSTRACT
Congestive heart failure with preserved or moderately lowered left ventricular pump function in some patients is caused by mitral regurgitation. Its consequences are left atrial dilation, pulmonary hypertension, tricuspid regurgitation, thromboembolic complications, disturbances of rhythm with elevated risk of sudden death. As efficacy of drug treatment and electroimpulse therapy is small surgery is the method of choice and one of alternatives - autotransplantation of the heart. Here we present a successful experience of application of this technique in a patient with moderately lowered left ventricular function, extreme degree of mitral and tricuspid regurgitation, atriomegaly, atrial fibrillation, and pronounced manifestations of congestive heart failure.
