Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
J Card Surg. 2020 Sep;35(9):2432-2435. doi: 10.1111/jocs.14817. Epub 2020 Jul 28.
Severe recurrent mitral regurgitation within 1 year of mitral valve repair is usually attributed to a technical issue with the original repair procedure. However, when artificial chordae are employed to correct mitral valve prolapse, ventricular remodeling (ie, decreased ventricular size) can lead to recurrent prolapse and valve dysfunction. To illustrate this phenomenon, we present two patients who experienced early failure after undergoing mitral valve repair with artificial chordae.
在二尖瓣修复后 1 年内发生严重复发性二尖瓣反流通常归因于原始修复程序的技术问题。然而，当使用人工腱索来纠正二尖瓣脱垂时，心室重构（即心室缩小）可导致脱垂复发和瓣膜功能障碍。为了说明这一现象，我们介绍了两位接受人工腱索二尖瓣修复后早期失败的患者。
