Huguet R, Triola M, Cordeiro B, Sala J, Alegría E, Martín-Trenor A, Arcas R, Malpartida F
Rev Med Univ Navarra. 1975;19(1):113-20.
38 patients with Carpentier's ring inserted in the mitral position at surgery, are studied. The grade of the pre and postoperatory mitral murmur is correlated and compared with the radiographic size of the heart and left auricle as well as the pre and postoperatory angiocardiographic study. Only 3 (7'8%) of the 38 patients presented significant elevation of the pulmonary artery sistolic pressure together with important angiographic regurgitation. These three patients had to be operated on again, 60'52% did not present murmurs on these were grade I murmurs, while 76'32% did not present mitral reguritation. Only 8 of 14 patients with grade II sistole murmur in the postoperative period had grade II regurgitation. This no correlation was observed between the intensity of the murmur and the grade of angiocardiographic mitral regurgitation. We conclude that Carpentier's ring restores the mitral valve function to normal in the majority of cases and the angiocardiographic results are favorable.
对38例在手术中于二尖瓣位置植入Carpentier环的患者进行了研究。将术前和术后二尖瓣杂音的分级与心脏和左心房的X线片大小以及术前和术后心血管造影研究结果进行了关联和比较。38例患者中只有3例(7.8%)出现肺动脉收缩压显著升高以及严重的血管造影反流。这3例患者不得不再次接受手术,60.52%的患者没有杂音或为I级杂音,而76.32%的患者没有二尖瓣反流。术后14例有II级收缩期杂音的患者中只有8例有II级反流。未观察到杂音强度与心血管造影二尖瓣反流分级之间存在相关性。我们得出结论,在大多数情况下,Carpentier环可使二尖瓣功能恢复正常,且心血管造影结果良好。