Calafiore Antonio Maria, Contini Marco, Iacò Angela Lorena, Di Mauro Michele, Bivona Antonio, Weltert Luca
Department of Cardiac Surgery, University of Catania, Catania, Italy.
J Cardiovasc Med (Hagerstown). 2007 Feb;8(2):114-8. doi: 10.2459/01.JCM.0000260212.67488.29.
Mitral valve repair for degenerative mitral regurgitation is nowadays one of the most common valvular procedures. Different technical modifications were added to the original Carpentier's method, trying to maximise the stability of the results and to reduce the incidence of immediate complications and of late failure of the correction. Survival is good, even if recent reports showed that recurrence of mitral regurgitation can be higher than expected. Prolapse of the anterior leaflet remains challenging and is related to higher reintervention rates. Nevertheless, the overall success rate is high, and the increasing experience of the different surgical teams approaching this procedure will help maintain satisfactory and stable long-term results.
如今，二尖瓣修复术治疗退行性二尖瓣反流是最常见的瓣膜手术之一。在最初的卡彭蒂埃方法基础上增加了不同的技术改进，试图使结果的稳定性最大化，并降低即刻并发症的发生率以及矫正术后晚期失败的发生率。即使最近的报告显示二尖瓣反流的复发率可能高于预期，但生存率良好。前叶脱垂仍然具有挑战性，且与较高的再次干预率相关。尽管如此，总体成功率较高，不同手术团队在该手术方面不断增加的经验将有助于维持令人满意且稳定的长期效果。
