Albertini Alberto, Amoncelli Enrico, Piccinini Luca, Caprili Luca
Department of Cardiovascular Surgery, Salus Hospital GVM Care and Research, Reggio Emilia, Italy.
Interact Cardiovasc Thorac Surg. 2018 Mar 1;26(3):525-526. doi: 10.1093/icvts/ivx344.
Off-pump direct coronary artery bypass grafting through a left anterior small thoracotomy is widely utilized for minimally invasive myocardial revascularization. More recently, a novel technique for transapical off-pump mitral valve repair with the NeoChord device is demonstrating its efficacy. This report describes a case of an 84-year-old male patient with coronary artery disease involving the left anterior descending coronary artery and acute severe mitral regurgitation secondary to posterior leaflet flail who underwent both off-pump coronary artery bypass and mitral valve repair with the transapical implantation of artificial chordae using the NeoChord DS 1000 system through the same anterolateral small thoracotomy.
经左前小切口非体外循环直接冠状动脉旁路移植术被广泛应用于微创心肌血运重建。最近，一种使用NeoChord装置经心尖非体外循环二尖瓣修复的新技术正在展现其疗效。本报告描述了一例84岁男性患者，患有累及左前降支冠状动脉的冠状动脉疾病以及继发于后叶连枷样病变的急性重度二尖瓣反流，该患者通过同一前外侧小切口，采用NeoChord DS 1000系统经心尖植入人工腱索，同时进行了非体外循环冠状动脉旁路移植术和二尖瓣修复术。
