Department of Cardiothoracic Surgery Leiden University Medical Center Albinusdreef 2 2333 ZA Leiden Netherlands.
Department of Cardiothoracic Surgery, University Hospital Augsburg, Augsburg, Germany.
Multimed Man Cardiothorac Surg. 2024 Sep 16;2024. doi: 10.1510/mmcts.2024.035.
Atrial fibrillation is the most common cardiac arrhythmia, leading to progressive dilation of cardiac chambers, abnormal contraction patterns of the atria and ventricles and, potentially, atrioventricular valvular insufficiency. Moreover, heart failure with preserved ejection fraction is often present and closely intertwined with disease initiation and progression. Surgical valve repair with a true-sized ring annuloplasty is a well-established treatment option in atrial functional mitral regurgitation. While early results are good, recent studies have brought the durability of this repair approach into question, highlighting the need for further refinement of the surgical strategy. In particular, repair strategies that simultaneously target the mitral valve as well as the left ventricle could provide improved repair durability.
心房颤动是最常见的心律失常，可导致心腔进行性扩张、心房和心室的异常收缩模式，并可能导致房室瓣关闭不全。此外，射血分数保留的心力衰竭通常存在，并与疾病的发生和进展密切相关。使用真实尺寸的环形瓣环成形术进行外科瓣膜修复是治疗功能性二尖瓣反流的一种成熟的治疗选择。虽然早期结果良好，但最近的研究对这种修复方法的耐久性提出了质疑，这凸显了进一步完善手术策略的必要性。特别是，同时针对二尖瓣和左心室的修复策略可能会提供更好的修复耐久性。
