Bergonzoni Emma, D'Onofrio Augusto, Mastro Florinda, Gerosa Gino
Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Front Cardiovasc Med. 2023 Jul 28;10:1166892. doi: 10.3389/fcvm.2023.1166892. eCollection 2023.
Microinvasive cardiac surgery includes procedures performed off-pump, on the beating heart, with limited or absent skin incision, and those that rely on live imaging techniques. Transapical off-pump beating heart neochordae implantation allows the repair of severe mitral valve regurgitation due to leaflet prolapse or flail with live three-dimensional echo guidance. This procedure has shown good results for up to 5 years and can be considered as a valid alternative to conventional surgery in selected patients with high prediction of success based on clinical and anatomical considerations. The aim of this review is to describe the devices, indications, patient screening process, clinical and echocardiographic results, and future perspectives of this procedure.
微创心脏手术包括在非体外循环下、心脏跳动时进行的手术，皮肤切口有限或无切口，以及依赖实时成像技术的手术。经心尖非体外循环心脏跳动时新腱索植入术可在实时三维超声引导下修复因瓣叶脱垂或连枷样病变导致的严重二尖瓣反流。该手术已显示出长达5年的良好效果，基于临床和解剖学考虑，对于某些预测成功率高的患者，可被视为传统手术的有效替代方案。本综述的目的是描述该手术的器械、适应证、患者筛选过程、临床和超声心动图结果以及未来展望。
