MITRAL VALVE REPAIR: RESECTION TECHNIQUES OR ARTIFICIAL CHORDAE?
| العنوان: | MITRAL VALVE REPAIR: RESECTION TECHNIQUES OR ARTIFICIAL CHORDAE? |
|---|---|
| المؤلفون: | Erdeljac, Danijela |
| المساهمون: | Medved, Igor, Kovačević, Miljenko, Ivančić, Aldo, Župan, Željko |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | mitral valve repair, mitral valve resection, resekcija mitralne valvule, BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Kirurgija, neochords, neokorde, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Surgery, popravak mitralne valvule |
| الوصف: | Bolesti mitralne valvule su vrlo često asipmtomatske i najčešće se otkrivaju slučajno. S vremenom opterećuju srčane komore i mijenjaju njihovu strukturu i funkciju. Najvažnija metoda u dijagnostici i evaluaciji stupnja bolesti je ehokardiografija. Do danas su razvijene brojne tehnike popravka mitrale valvule. Kako bi se odabrala čim prikladnija metoda za pacijenta, potrebno je koristiti Funkcionalnu Klasifikaciju i pažljivo intraoperativno analizirati valvulu. S razvojem i usavršavanjem različitih tehnika popravka mitralne valvule, ujedno dolazi i do sve većih dilema. Mnoga istraživanja pokušala su usporediti implantaciju neokordi i resekcijske tehnike, ali još nisu dobiveni podaci o nekim značajnijim razlikama ili prednosti isključivo jedne tehnike. U ovoj retrospektivnoj studiji, proučili smo 53 pacijenta koji su zaprimljeni i liječeni na Zavodu za kardijalnu kirurgiju Kliničkog Bolničkog Centra (KBC) Rijeka u razdoblju od rujna 2011. godine do rujna 2019. godine. Jedna skupina je podvrgnuta resekcijskim tehnikama popravka mitralne valvule, a druga implantaciji umjetnih kordi (neokordi). Većina rezultata odgovara rezultatima dosadašnjih istraživanja, a najznačajniji rezultat uočen je kod veličine implantiranih protetskih prstena Mitral valve diseases are usually asymptomatic and are most often discovered accidentally. Over time, they burden the heart chambers and change their structure and function. The most important method in the diagnosis and evaluation of the degree of the disease is echocardiography. To date, a number of mitral valve repair techniques have been developed. In order to select the most appropriate method for the patient, it is necessary to use the Functional Classification and carefully analyze the valve intraoperatively. With the development and improvement of various mitral valve repair techniques, there are also growing dilemmas. Many studies have tried to compare chordal replacement and resection techniques, but no data have yet been obtained on some significant differences or advantages of a single technique. In this retrospective study, we studied 53 patients who were admitted and treated at the Department of Cardiac Surgery of the Clinical Hospital Center (CHC) Rijeka in the period from September 2011 to September 2019. One group underwent resection techniques to repair the mitral valve, and the other underwent chordal replacement. Most of the results correspond to the results of previous research and the most significant result was observed with the size of the implanted prosthetic rings. |
| وصف الملف: | application/pdf |
| اللغة: | Croatian |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::f3f0d6b90e360aca81892f7f8a8de46a https://urn.nsk.hr/urn:nbn:hr:184:386172 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.dedup.wf.001..f3f0d6b90e360aca81892f7f8a8de46a |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |