Mitral Valvuloplasty with Artificial Chord and Mitral Annuloplasty Ring for the Treatment of Mitral Valve Prolapse_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

BAOJia-yin , CHENHai-yu ,  WENGGuo-xing , CHENZhi-qun , XIEQi , WANGHuan , XIAORong-dong , CAIWen-long

Department of Cardiovascular Surgery, Fujian Provincial Hospital, Fujian Medical University, Fuzhou 350001, P. R. China;

Corresponding author：

WENGGuo-xing, Email: gxw001@sina.com

Keywords：

Mitral valvuloplasty; Mitral insufficiency; Mitral valve prolapse; Artificial chord

DOI：

10.7507/1007-4848.20150082

Video：

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Objective To evaluate outcomes of mitral valvuloplasty with artificial chord and mitral annuloplasty ring in patients with mitral valve prolapse. Methods From January 2012 to March 2014, mitral valvuloplasty with artificial chord and mitral annuloplasty ring were performed for 58 patients with mitral valve prolapsed in Department of Cardiovascular Surgery, Fujian Provincial Hospital, among which 47 simple anterior or posterior mitral valvuloplasty and 11 combined anterior-posterior mitral valvuloplasty were completed. There were 33 males and 25 females aged (53.7±14.3) years. Results There was no in-hospital death. Three patients received mitral valve replacement. The transoesophageal echocardiography found no or trivial mitral regurgitation in 48 patients, mild mitral regurgitation in 7 patients. The diameter of the left atrium (LA) and left ventricle (LV), left ventricular end-diastolic volume (LVEDV) and left ventricular end-systolic volume (LVESV) were significantly decreased after the operation. During the follow-up of 6 months to 2 years, the cardiac function of the patients improved. Conclusion Mitral valvuloplasty with artificial chord and mitral annuloplasty ring is simple, reliable and effective treatment for patients with mitral valve prolapse, and its shortand mid-term outcome is good.

Citation： BAOJia-yin, CHENHai-yu, WENGGuo-xing, CHENZhi-qun, XIEQi, WANGHuan, XIAORong-dong, CAIWen-long. Mitral Valvuloplasty with Artificial Chord and Mitral Annuloplasty Ring for the Treatment of Mitral Valve Prolapse. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(4): 298-301. doi: 10.7507/1007-4848.20150082 Copy

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8.	孙海宁, 王巍, 宋云虎, 等.二尖瓣成形术治疗二尖瓣前叶脱垂的疗效分析.中国胸心血管外科临床杂志, 2010, 17(4):283-286.
9.	马宁, 李治安, 孟旭, 等.实时三维超声在人工腱索二尖瓣成形术中的应用.中国超声医学杂志, 2008, 24(7):620-624.
10.	张卫, 郭震, 叶伟.二尖瓣成形术的临床应用及疗效分析.中国胸心血管外科临床杂志, 2010, 17(6):503-505.
11.	韩劲松, 王辉山, 尹宗涛, 等.人工腱索移植和马鞍环环缩修复退行性二尖瓣关闭不全.中国组织工程研究, 2014, 18(5):705-711.
12.	Rankin JS, Gaca JG, Brunsting LA 3rd, et al.Increasing mitral valve repair rates with nonrectional techniques.Innovations (Phila), 2011, 6(4):209-220.
13.	Hu X, Zhao Q.Systematic evaluation of the flexible and rigid annuloplasty ring after mitral valve repair for mitral regurgitation.Eur J Cardiothorac Surg, 2011, 40(2):480-487.
14.	Bergsland J, Mujanovic E, Elle OJ, et al.Minimally invasive repair of the mitral valve:technological and clinical developments.Minim Invasive Ther Allied Technol, 2011, 20(2):72-77.
15.	Alfieri O, De Bonis M.The role of the edge-to-edge repair in the surgical treatment of mitral regurgitation.J Card Surg, 2010, 25(5):536-541.
16.	Maselli D, Ficarra E, Weltert L, et al.A method to avoid knot-tying in artificial chordae implantation for mi tral valve repair.J Heart Valve Dis, 2010, 19(2):249-253.

1. Wong RH, Lee AP, Ng CS, et al.Mitral valve repair:past, present, and future.Asian Cardiovasc Thorac Ann, 2010, 18(6):586-595.
2. 陈伟, 张健群, 甘辉立.腱索折叠与腱索转移矫治二尖瓣前瓣脱垂的比较分析.中国胸心血管外科临床杂志, 2010, 17(1):26-31.
3. Carpenter A.Plastic and reconstructive mistral valve surgery.In:Jackson JW, ed.Operative Surgery.Boston:Butter worths, 1988.527.
4. 徐志云, 张宝仁, 朱家麟, 等.人工腱索行二尖瓣成形术.第二军医大学学报, 1997, 18(增刊):102-104.
5. Zussa C, Polesel E, Col UD, et al.Seven-year experience with chordal replacement with expanded poly-tetrafluoroethylene in floppy mitral valve.J Thorac Cardiovase Surg, 1994, 108(1):37-41.
6. 张石江, 罗春生, 张晓华, 等.ePTFE人工腱索二尖瓣成形术.心肺血管病杂志, 2000, 19(2):96-98.
7. 杨进福, 唐浩, 周新民, 等.人工腱索加瓣环成形在二尖瓣前瓣脱垂修复中的应用.中南大学学报(医学版), 2012, 37(9):920-922.
8. 孙海宁, 王巍, 宋云虎, 等.二尖瓣成形术治疗二尖瓣前叶脱垂的疗效分析.中国胸心血管外科临床杂志, 2010, 17(4):283-286.
9. 马宁, 李治安, 孟旭, 等.实时三维超声在人工腱索二尖瓣成形术中的应用.中国超声医学杂志, 2008, 24(7):620-624.
10. 张卫, 郭震, 叶伟.二尖瓣成形术的临床应用及疗效分析.中国胸心血管外科临床杂志, 2010, 17(6):503-505.
11. 韩劲松, 王辉山, 尹宗涛, 等.人工腱索移植和马鞍环环缩修复退行性二尖瓣关闭不全.中国组织工程研究, 2014, 18(5):705-711.
12. Rankin JS, Gaca JG, Brunsting LA 3rd, et al.Increasing mitral valve repair rates with nonrectional techniques.Innovations (Phila), 2011, 6(4):209-220.
13. Hu X, Zhao Q.Systematic evaluation of the flexible and rigid annuloplasty ring after mitral valve repair for mitral regurgitation.Eur J Cardiothorac Surg, 2011, 40(2):480-487.
14. Bergsland J, Mujanovic E, Elle OJ, et al.Minimally invasive repair of the mitral valve:technological and clinical developments.Minim Invasive Ther Allied Technol, 2011, 20(2):72-77.
15. Alfieri O, De Bonis M.The role of the edge-to-edge repair in the surgical treatment of mitral regurgitation.J Card Surg, 2010, 25(5):536-541.
16. Maselli D, Ficarra E, Weltert L, et al.A method to avoid knot-tying in artificial chordae implantation for mi tral valve repair.J Heart Valve Dis, 2010, 19(2):249-253.

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Mitral Valvuloplasty with Artificial Chord and Mitral Annuloplasty Ring for the Treatment of Mitral Valve Prolapse

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