Birnbaum D E
Klinik und Poliklinik für Herz-, Thorax- und herznahe Gefässchirurgie, Klinikum, Universität Regensburg.
Herz. 1996 Jun;21(3):159-65.
In mitral regurgitation it is undoubtful that reconstruction of the valve aims in functional better results with low risk for the patients. Due to patho-anatomic diversity it is not only necessary to reconstruct individually chordae and leaflets but also to choose selectively the kind for a proper annular reconstruction method. If after repair of the moving parts of the valve there is a central reflux persistent an annular reconstruction should be performed such as De Vega-plasty, whereas an excentric regurgitation makes the implantation of an annular ring mandatory. By this differential approach the risk for persistence of mitral insufficiency is diminished postoperatively.
在二尖瓣反流中，毫无疑问，瓣膜重建旨在为患者带来功能上更好的结果且风险较低。由于病理解剖的多样性，不仅需要单独重建腱索和瓣叶，还需要有选择地选择合适的环重建方法。如果在修复瓣膜活动部件后仍存在中心性反流，则应进行环重建，如德维加成形术，而偏心性反流则必须植入瓣环。通过这种差异化方法，二尖瓣关闭不全持续存在的风险在术后会降低。
