6533b854fe1ef96bd12af279

RESEARCH PRODUCT

Mitral Valve Repair Without Using Rings or Slings

M. DahmH. OelertUlrich HakeW. SchmiedtS. Iversen

subject

medicine.medical_specialtyAnterior leafletReconstructive surgeryBeating heartMitral valve repairbusiness.industrymedicine.medical_treatmentAnnular ringsSurgerymedicine.anatomical_structureMitral valvecardiovascular systemmedicineOperative riskCommissurotomybusiness

description

Reconstructive surgery of the mitral valve is still deemed superior to prosthetic replacement because of the lower operative risk as well as the fewer thromboembolic complications [1, 2]. Whereas closed or open commissurotomy of a stenosed mitral valve has been routine in the past and present [3], reconstructive measures for incompetent valves have been among those least often performed. The use of rigid or semi-flexible annular rings [4–9] has significantly contributed to progress in this field. However, these are not suitable for repair of all valvular lesions and undoubtedly have at least some of the negative features of prosthetic substitutes. We have therefore started a program of mitral valve reconstruction without using rings or slings, and with intraoperative testing of the valve both in the arrested as well as in the beating heart [10]. This presentation gives an account of our preliminary results.

yearjournalcountryeditionlanguage
1989-01-01
https://doi.org/10.1007/978-3-642-74629-1_23