二尖瓣黏液瘤样病变时后叶的纵向折叠术

Longitudinal plication of the posterior leaflet in myxomatous disease of the mitral valve.

作者信息

Calafiore Antonio M, Di Mauro Michele, Actis-Dato Guglielmo, Iacò Angela Lorena, Centofanti Paolo, Forsennati Piero, Patanè Francesco, Di Gioacchino Lorena

机构信息

Division of Cardiac Surgery, University Hospital, Turin, Italy.

出版信息

Ann Thorac Surg. 2006 May;81(5):1909-10. doi: 10.1016/j.athoracsur.2005.02.067.

DOI:10.1016/j.athoracsur.2005.02.067

PMID:16631710

Abstract

In selected cases, resection of a prolapsing scallop of the posterior leaflet (generally P2) is not advisable because of the excessive length of insertion of the scallop. In such cases, insertion of artificial chordae is advisable, but the height of the scallop needs to be reduced. We used longitudinal plication of the scallop(s) in which the height was excessive with "U" sutures in 11 consecutive patients. Early and intermediate echocardiographic results were fully satisfying, and we expect that the morphologic aspect of the repaired mitral valve will remain stable after a longer follow-up.

摘要

在某些特定病例中，由于后叶脱垂扇贝样结构（通常为P2）的腱索插入过长，切除该结构并不适宜。在此类病例中，植入人工腱索是可取的，但扇贝样结构的高度需要降低。我们对11例连续患者使用“U”形缝线对高度过高的扇贝样结构进行纵向折叠。早期和中期的超声心动图结果完全令人满意，我们预计在更长时间的随访后，修复后的二尖瓣形态将保持稳定。