Chotivatanapong Taweesak
Department of Cardiothoracic Surgery, International Academic Institute Program, Central Chest Institute of Thailand, Nonthaburi, Thailand.
Asian Cardiovasc Thorac Ann. 2020 Sep;28(7):366-370. doi: 10.1177/0218492320927315. Epub 2020 May 21.
Rheumatic mitral valve disease remains a challenge for cardiac surgeons. Valve repair has several advantages over valve replacement but is technically demanding for good results. To improve rheumatic mitral valve repair, surgeons need to have a deep understand of the mitral valve complex and its dynamics. The goal of repair is to restore normal diastolic and systolic function. The current approach is to perform a holistic repair of the entire mitral complex. Each part of the complex is thoroughly explored to define the problem. Several innovative techniques have been introduced to correct valve dysfunction and provide gratifying results. The details of these techniques will be described, based on an understanding of the relationship of the mitral valve complex and dynamics. With this approach, rheumatic mitral valve repair is becoming more successful, reproducible, and safe. Long-term follow-up is mandatory.
风湿性二尖瓣疾病对心脏外科医生来说仍然是一项挑战。瓣膜修复相对于瓣膜置换有几个优点，但要取得良好效果在技术上要求很高。为了改进风湿性二尖瓣修复，外科医生需要深入了解二尖瓣复合体及其动力学。修复的目标是恢复正常的舒张和收缩功能。目前的方法是对整个二尖瓣复合体进行全面修复。对复合体的每个部分进行彻底探查以明确问题所在。已经引入了几种创新技术来纠正瓣膜功能障碍并取得了令人满意的结果。基于对二尖瓣复合体及其动力学关系的理解，将对这些技术的细节进行描述。通过这种方法，风湿性二尖瓣修复正变得更加成功、可重复且安全。长期随访是必要的。
