Radermecker M A, Gach O, Henrottaux G, Elen P, Dresse D, Thiry A, Grenade T, Limet R
Université de Liège, Service de Chirurgie cardio-vasculaire et thoracique.
Rev Med Liege. 2000 Oct;55(10):950-3.
Mitral valve repair has demonstrated its superiority over valve replacement. Mitral valve repair constitutes the optimal therapeutic option in case of degenerative dystrophic, rheumatic, congenital or ischemic mitral valve disease. These surgical techniques can also be successfully and advantageously applied in case of bacterial endocarditis or tumoral valvular disease. We report a case of staphylococcal endocarditis and another case of posterior leaflet fibroelastoma to show the place of conservative mitral surgery in these unusual indications.
二尖瓣修复术已显示出其优于瓣膜置换术。对于退行性营养不良性、风湿性、先天性或缺血性二尖瓣疾病,二尖瓣修复术是最佳治疗选择。这些手术技术在细菌性心内膜炎或肿瘤性瓣膜疾病的情况下也能成功且有利地应用。我们报告一例葡萄球菌性心内膜炎病例和另一例后叶纤维弹性瘤病例,以展示保守性二尖瓣手术在这些特殊适应症中的地位。