Division of Cardiac Surgery, University of Padova, Italy.
Division of Cardiac Surgery, University of Padova, Italy.
Ann Thorac Surg. 2022 Apr;113(4):e291-e293. doi: 10.1016/j.athoracsur.2021.05.079. Epub 2021 Jun 26.
Mitral valve repair using transapical off-pump beating-heart neochordae implantation is a relatively new procedure with promising early and mid-term results in selected patients. Nevertheless, early failures a few days after the procedure, requiring surgical reintervention, have been described. We describe a case of intraoperative acute procedural failure treated with a second procedure through a different transapical access adjacent to the first one. The final result was excellent with trivial residual regurgitation and the subsequent hospitalization was uneventful. This case demonstrates that a second transapical mitral neochordae implantation is feasible and should be considered in case of intraoperative acute procedural failure.
经心尖不停跳带瓣管道植入术修复二尖瓣是一种相对较新的术式，在特定患者中具有良好的早期和中期效果。然而，术后数天内仍会出现早期失败，需要再次手术干预。我们描述了一例术中急性手术失败的病例，通过与第一次手术相邻的另一个经心尖入路进行了第二次手术。最终结果极好，仅有轻微残余反流，随后的住院过程也很顺利。该病例表明，在术中急性手术失败的情况下，进行第二次经心尖二尖瓣腱索植入是可行的，应考虑采用该方法。
