SURGICAL TECHNIQUE FOR ARTIFICIAL MITRAL CHORDAE IMPLANTATION

被引：19

作者：

ZUSSA, C

POLESEL, E

ROCCO, F

GALLONI, M

FRATER, RWM

VALFRE, C

机构：

[1] Department of Cardiac Surgery, Treviso Regional Hospital, Treviso

[2] Department of Anatomy, Torino Veterinary Medical School, Torino

[3] The Department of Cardiothoracic Surgery, Albert Einstein College of Medicine, Bronx, New York

[4] Bronx, New York

[5] Bronx, New York

来源：

JOURNAL OF CARDIAC SURGERY | 1991年 / 6卷 / 04期

关键词：

D O I：

10.1111/j.1540-8191.1991.tb00342.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Failure of reconstructive procedures of the mitral valve is often ascribed to diffuse alteration of the subvalvular apparatus, which prevents the utilization of well-established techniques such as chordal transposition or shortening. For this reason, in 1986 after 2 years of animal experiments, we started the clinical use of expanded-polytetrafluoroethylene mitral chordae. Details of the surgical procedure are presented. Our experience is based on 51 patients with a mean follow-up of about 20 months (range 3-57). Four patients had the valve replaced during the same operation: one patient died later of cardiac failure and two underwent reoperation, 8 and 18 months after operation. Forty-one patients are in New York Heart Association Functional Class I and three in Class II. We suggest this technique in association with other traditional procedures to increase the number of mitral valves repaired, mostly because of degenerative etiology.

引用

页码：432 / 438

页数：7

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