Papillary Muscle Sandwich Plasty for the Treatment of Functional Mitral Valve Regurgitation
| العنوان: | Papillary Muscle Sandwich Plasty for the Treatment of Functional Mitral Valve Regurgitation |
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| المؤلفون: | Koji Kuwana, Hirokazu Nagatani, Hiroshi Otake, Keisuke Ueda, Shigeho Morita, Kazuo Neya, Susumu Ishikawa, Akio Kawasaki, Akihito Kakinuma, Hidetoshi Sakamoto |
| المصدر: | International Surgery. 96:182-187 |
| بيانات النشر: | International College of Surgeons, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Male, Aortic valve disease, medicine.medical_specialty, Aortic Valve Insufficiency, Myocardial Ischemia, Aortic valve replacement, Internal medicine, Mitral valve, Humans, Medicine, Left ventricular dilatation, cardiovascular diseases, Cardiac Surgical Procedures, Functional mitral regurgitation, Papillary muscle, Aged, Aged, 80 and over, business.industry, Mitral Valve Insufficiency, Aortic Valve Stenosis, Middle Aged, Papillary Muscles, medicine.disease, Surgery, Treatment Outcome, medicine.anatomical_structure, Cardiology, Female, business, Ischemic heart, Mitral valve regurgitation |
| الوصف: | We evaluated the availability of original “sandwich plasty” for the treatment of functional mitral regurgitation (FMR) associated with ischemic heart disease (IHD) and aortic valve disease (AVD). Forty-three patients were reviewed, including 27 IHD patients and 16 AVD patients. Preoperatively severe FMR was detected in 14 patients, moderate FMR in 26, and mild FMR in 3. The papillary muscle heads of anterior leaflets and posterior leaflets were approximated using Teflon-pledgeted 3-0 Ticron sutures at anterolateral and posteromedial commissural portions. After surgery, residual moderate FMR was observed in 1 patient and mild FMR in 3 patients. Tenting height of the mitral valve significantly decreased. FMR free rates 2 years after surgery were 93% among IHD patients and 83% in AVD patients. “Sandwich plasty” was simple and effective for the treatment of functional FMR caused by tethering effects due to left ventricular dilatation. |
| تدمد: | 2520-2456 0020-8868 |
| DOI: | 10.9738/1366.1 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7edd43e0fbf6708f696cadcbbedcfd7c https://doi.org/10.9738/1366.1 |
| رقم الانضمام: | edsair.doi.dedup.....7edd43e0fbf6708f696cadcbbedcfd7c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25202456 00208868 |
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| DOI: | 10.9738/1366.1 |