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退行性疾病二尖瓣修复中的瓣环成形术:采用柔性还是刚性修复?这仍是个问题。

Annuloplasty for mitral valve repair in degenerative disease: to be flexible or to be rigid? That's still the question.

作者信息

Bruno Vito Domenico, Di Tommaso Ettorino, Ascione Raimondo

机构信息

Translational Health Science, Faculty of Health Science, Bristol Heart Institute, University of Bristol Medical School, Marlborough Street, Bristol, BS2 8HW UK.

出版信息

Indian J Thorac Cardiovasc Surg. 2020 Nov;36(6):563-565. doi: 10.1007/s12055-020-01001-3. Epub 2020 Sep 18.

DOI:10.1007/s12055-020-01001-3
PMID:33093751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7572951/
Abstract

The choice of ring for mitral valve repair is still largely left to the surgeon's preferences and there are no specific guidelines regulating this decision. Despite this previous researches have described important features appertaining to each of the different types of rings currently available. Particularly, the debate is still open in regards to the flexibility that these devices should or should not have. Later in this issue of the Journal, Panicker and colleagues have reported their results with flexible and rigid rings in mitral valve repair. The results are very interesting and once again are highlighting the importance of using the right ring for the right disease.

摘要

二尖瓣修复术中环的选择在很大程度上仍取决于外科医生的偏好,目前尚无规范这一决策的具体指南。尽管如此,先前的研究已经描述了当前可用的每种不同类型环的重要特征。特别是,关于这些装置应具备或不应具备的灵活性,争论仍在继续。在本期《杂志》的后续内容中,帕尼克及其同事报告了他们使用柔性环和刚性环进行二尖瓣修复的结果。结果非常有趣,再次凸显了针对正确的疾病使用合适的环的重要性。

相似文献

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Annuloplasty for mitral valve repair in degenerative disease: to be flexible or to be rigid? That's still the question.退行性疾病二尖瓣修复中的瓣环成形术:采用柔性还是刚性修复?这仍是个问题。
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2
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The Predictors and Outcomes of Functional Mitral Stenosis following Surgical Mitral Valve Repair: A Retrospective Analysis.二尖瓣手术修复后功能性二尖瓣狭窄的预测因素及结果:一项回顾性分析
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本文引用的文献

1
Flexible or rigid ring in mitral annuloplasty-do the results differ?二尖瓣环成形术中的柔性或刚性环——结果有差异吗?
Indian J Thorac Cardiovasc Surg. 2020 Nov;36(6):566-571. doi: 10.1007/s12055-020-01019-7. Epub 2020 Aug 27.
2
Effect of an artificial ring on mitral valve function.人工环对二尖瓣功能的影响。
Nagoya J Med Sci. 2019 May;81(2):207-215. doi: 10.18999/nagjms.81.2.207.
3
Mid-term results of mitral valve repair using flexible bands versus complete rings in patients with degenerative mitral valve disease: a prospective, randomized study.使用柔性带与完整环对退行性二尖瓣疾病患者进行二尖瓣修复的中期结果:一项前瞻性随机研究。
J Cardiothorac Surg. 2017 Dec 13;12(1):113. doi: 10.1186/s13019-017-0679-0.
4
Relation of Mitral Valve Surgery Volume to Repair Rate, Durability, and Survival.二尖瓣手术量与修复率、耐久性和生存率的关系。
J Am Coll Cardiol. 2017 Apr 24. doi: 10.1016/j.jacc.2017.02.026.
5
2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2017年美国心脏协会/美国心脏病学会对2014年《美国心脏协会/美国心脏病学会瓣膜性心脏病患者管理指南》的重点更新:美国心脏病学会/美国心脏协会临床实践指南工作组报告
Circulation. 2017 Jun 20;135(25):e1159-e1195. doi: 10.1161/CIR.0000000000000503. Epub 2017 Mar 15.
6
Long-term outcomes of mitral valve repair with the Duran flexible ring.使用杜兰柔性环进行二尖瓣修复的长期结果。
J Card Surg. 2015 Apr;30(4):333-7. doi: 10.1111/jocs.12522. Epub 2015 Feb 18.
7
Guidelines on the management of valvular heart disease (version 2012).心脏瓣膜病管理指南(2012年版)
Eur Heart J. 2012 Oct;33(19):2451-96. doi: 10.1093/eurheartj/ehs109. Epub 2012 Aug 24.
8
Systematic evaluation of the flexible and rigid annuloplasty ring after mitral valve repair for mitral regurgitation.二尖瓣反流行二尖瓣修复术后的柔韧环和硬性成形环的系统评价。
Eur J Cardiothorac Surg. 2011 Aug;40(2):480-7. doi: 10.1016/j.ejcts.2010.11.080. Epub 2011 Feb 3.
9
Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: a prospective and randomized study.使用柔性和刚性环进行二尖瓣成形术的长期临床结果:一项前瞻性随机研究。
J Thorac Cardiovasc Surg. 2007 Apr;133(4):995-1003. doi: 10.1016/j.jtcvs.2006.10.023. Epub 2007 Feb 22.
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Circulation. 2006 Jul 4;114(1 Suppl):I67-71. doi: 10.1161/CIRCULATIONAHA.105.001453.