Adluri Rajeshwara Krishna Prasad
Department of Cardiothoracic Surgery, Medicover Hospitals, Hyderabad, Telangana 500081 India.
Indian J Thorac Cardiovasc Surg. 2025 Mar;41(3):299-307. doi: 10.1007/s12055-024-01857-9. Epub 2025 Jan 3.
The rheumatic mitral disease represents a complex progressive disorder that affects young adults and causes severe morbidity and mortality. Valve replacement with a mechanical valve has been the traditional treatment for these patients. Valve replacement increases longevity but necessitates several lifestyle changes. Improved understanding of the pathophysiology of the disease and standardization of mitral repair techniques, renewed interest is now generated in repairing these complex valves. We review the existing evidence for the repairing rheumatic mitral valve and propose a practical and systematic approach to repair the valve to ensure higher success rates.
The online version contains supplementary material available at 10.1007/s12055-024-01857-9.
风湿性二尖瓣疾病是一种复杂的进行性疾病，影响年轻人，会导致严重的发病率和死亡率。使用机械瓣膜进行瓣膜置换一直是这些患者的传统治疗方法。瓣膜置换可延长寿命，但需要对生活方式进行多项改变。随着对该疾病病理生理学的认识不断提高以及二尖瓣修复技术的标准化，现在人们对修复这些复杂瓣膜重新产生了兴趣。我们回顾了修复风湿性二尖瓣的现有证据，并提出了一种实用且系统的瓣膜修复方法，以确保更高的成功率。
在线版本包含可在10.1007/s12055-024-01857-9获取的补充材料。
