Clinical Analysis of Cardio Mitral Valvuloplasty for Improving Mitral Valve Regurgitation_West China Medical Journal

Authors：

SHU Jun , CONG Wei , CHEN Fan , ZENG Fuchun , GAN Chongzhi , LIU Shengzhong

Department of Cardiothoracic Surgery, Sichuan Academy of Medical Science & Sichuan Provincial People’s Hospital, Chengdu, Sichuan 610072, P. R. China;

Corresponding author：

Keywords：

二尖瓣成形术; 二尖瓣关闭不全

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目的　总结68例二尖瓣成形术的临床经验，评估其术后临床效果。方法　回顾分析2001年12月－2011年12月进行二尖瓣成形术治疗的68例二尖瓣关闭不全患者的临床资料。成形术的方法为：人工瓣环植入、双孔成形、后瓣矩形切除、赘生物切除及心包补片修复、腱索转移等。术中采用注水实验和经食管超声心动图检查评估成形效果。结果　68例患者中手术死亡2例，二次开胸止血1例，肺部感染3例。全部患者术中注水实验和食管超声心动图检查显示成形效果满意。存活66例患者随访6个月，术后10 d、6个月彩色多普勒超声心动图检查：左心房内径、左心室舒张末内径缩小。术后6个月彩色多普勒超声心动图检查：无或微量反流33例，轻度反流27例，轻～中度反流5例，中度反流1例。结论　根据二尖瓣关闭不全的特征，选择相应的二尖瓣成形技术，可以取的较好的临床效果。

Citation： SHU Jun,CONG Wei,CHEN Fan,ZENG Fuchun,GAN Chongzhi,LIU Shengzhong. Clinical Analysis of Cardio Mitral Valvuloplasty for Improving Mitral Valve Regurgitation. West China Medical Journal, 2012, 27(7): 1007-1010. doi: Copy

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6.	Gillinov AM, Cosgrove DM. Chordal transfer for repair of anterior leaflet prolapse[J]. Semin Thorac Cardiovasc Surg, 2004, 16(2): 169-173.
7.	Fucci C, Sandrelli L, Pardini A，et al. Improved results with mitral valve repair using new surgical techniques[J]. Eur J Cardionthorac Surg, 1995, 9(11): 621-626.
8.	Brown ML, Schaff HV, Li Z, et al. Results of mitral valve annuloplasty with a standsard size posterior band: is measuring important [J]. J Thorac cardiovasc Surg, 2009, 138(4): 886-891.
9.	Eisenmann B, Charpentier A, Popescu S, et al. Is a prosthetic ring required repair of mitral insufficiency duo to posterior leafet prolaose? Long-tem results in 96 patients submitted to repair with no ring[J]. Eur J Cardiothorac Sug, 1998, 14(6): 584-589.
10.	彭永宣，鲁亚南，丁文祥, 等. 二尖瓣成形术治疗小儿先天性二尖瓣反流疗效分析[J]. 上海交通大学学报（医学版）, 2011, 31(9): 1295-1298.
11.	Lorer G, Kalil RA, Barcellos C, et al. Valve repair in children with congenital mitral lesions late clinical results[J]. Pediatr Cardiol, 2001, 22(1): 44-52.
12.	EI Oumeiri B, Boodhwani M, Glineur D, et al. Extending the scope of mitral valve repair in rheumatic disease[J]. Ann Thorac Surg, 2009, 87(6): 1735-1740.
13.	Ng CK，Punzengruber C, Pachinger O, et al. Valve repair in mitral regurgitation complicated by severe annulus calcification[J]. Ann Thorac Surg, 2000, 70(1): 53-58.
14.	Fernandez J, Joyce DH, Hirschfeld K, et al. Factors affecting mitral valve reoperation in 317 survivors after mitral valve reconstruction[J]. Ann Thorac Surg, 1992, 54(3): 440-448.
15.	Enriquez- Sarano M, Tajik AJ, Schaff HV, et al. Echocardiographic prediction of left ventricular function after correction of mitral regurgitation: results and clinical implications[J]. J Am Coll Cardiol, 1994, 24(6): 1536-1543.
16.	Stewart WJ. Choosing the “golden moment” for mitral valve repair[J]. J Am Coll Cardion, 1994, 24(6): 1544-1546.

1. 　Onnasch JF, Schneider F, Mierzwa M, et al. Mitral valve repair versus replacement [J]. Z Kardiol, 2001, 90 (Suppl 6): 75-80.
2. 　Gillinov AM, Cosgrove DM 3rd. Current status of mitral valve repair[J]. Am Heart Hosp J, 2003, 1(1): 47-54.
3. 　刘维永, 杨景学, 张伟达, 等. 二尖瓣综合成形术——临床病理研究与手术策略探讨[J]. 中华外科杂志, 1994, 32(1): 4-7.
4. 　Morimoto H, Tsuchiya K, Nakajima M, et al. Mitral valve repair for extended commissural prolapse involving complex prolapse[J]. Asian Cardiovasc Thorac Ann，2007, 15(3): 210-213.
5. 　Alfieri O, Maisano F, De Bonis M, et al. The double-orifice technique in mitral repair: a simple solution for complex problems[J]. J Thorac Cardiovasc Surg，2001, 122(4): 674-681.
6. 　Gillinov AM, Cosgrove DM. Chordal transfer for repair of anterior leaflet prolapse[J]. Semin Thorac Cardiovasc Surg, 2004, 16(2): 169-173.
7. 　Fucci C, Sandrelli L, Pardini A，et al. Improved results with mitral valve repair using new surgical techniques[J]. Eur J Cardionthorac Surg, 1995, 9(11): 621-626.
8. 　Brown ML, Schaff HV, Li Z, et al. Results of mitral valve annuloplasty with a standsard size posterior band: is measuring important [J]. J Thorac cardiovasc Surg, 2009, 138(4): 886-891.
9. 　Eisenmann B, Charpentier A, Popescu S, et al. Is a prosthetic ring required repair of mitral insufficiency duo to posterior leafet prolaose? Long-tem results in 96 patients submitted to repair with no ring[J]. Eur J Cardiothorac Sug, 1998, 14(6): 584-589.
10. 　彭永宣，鲁亚南，丁文祥, 等. 二尖瓣成形术治疗小儿先天性二尖瓣反流疗效分析[J]. 上海交通大学学报（医学版）, 2011, 31(9): 1295-1298.
11. 　Lorer G, Kalil RA, Barcellos C, et al. Valve repair in children with congenital mitral lesions late clinical results[J]. Pediatr Cardiol, 2001, 22(1): 44-52.
12. 　EI Oumeiri B, Boodhwani M, Glineur D, et al. Extending the scope of mitral valve repair in rheumatic disease[J]. Ann Thorac Surg, 2009, 87(6): 1735-1740.
13. 　Ng CK，Punzengruber C, Pachinger O, et al. Valve repair in mitral regurgitation complicated by severe annulus calcification[J]. Ann Thorac Surg, 2000, 70(1): 53-58.
14. 　Fernandez J, Joyce DH, Hirschfeld K, et al. Factors affecting mitral valve reoperation in 317 survivors after mitral valve reconstruction[J]. Ann Thorac Surg, 1992, 54(3): 440-448.
15. 　Enriquez- Sarano M, Tajik AJ, Schaff HV, et al. Echocardiographic prediction of left ventricular function after correction of mitral regurgitation: results and clinical implications[J]. J Am Coll Cardiol, 1994, 24(6): 1536-1543.
16. 　Stewart WJ. Choosing the “golden moment” for mitral valve repair[J]. J Am Coll Cardion, 1994, 24(6): 1544-1546.

West China Medical Journal

Clinical Analysis of Cardio Mitral Valvuloplasty for Improving Mitral Valve Regurgitation

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