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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2.	陳偉, 張健群, 甘輝立.腱索折疊與腱索轉移矯治二尖瓣前瓣脫垂的比較分析.中國胸心血管外科臨床雜志, 2010, 17(1):26-31.
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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.	張石江, 羅春生, 張曉華, 等.ePTFE人工腱索二尖瓣成形術.心肺血管病雜志, 2000, 19(2):96-98.
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8.	孫海寧, 王巍, 宋云虎, 等.二尖瓣成形術治療二尖瓣前葉脫垂的療效分析.中國胸心血管外科臨床雜志, 2010, 17(4):283-286.
9.	馬寧, 李治安, 孟旭, 等.實時三維超聲在人工腱索二尖瓣成形術中的應用.中國超聲醫學雜志, 2008, 24(7):620-624.
10.	張衛, 郭震, 葉偉.二尖瓣成形術的臨床應用及療效分析.中國胸心血管外科臨床雜志, 2010, 17(6):503-505.
11.	韓勁松, 王輝山, 尹宗濤, 等.人工腱索移植和馬鞍環環縮修復退行性二尖瓣關閉不全.中國組織工程研究, 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. 陳偉, 張健群, 甘輝立.腱索折疊與腱索轉移矯治二尖瓣前瓣脫垂的比較分析.中國胸心血管外科臨床雜志, 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, 張寶仁, 朱家麟, 等.人工腱索行二尖瓣成形術.第二軍醫大學學報, 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. 張石江, 羅春生, 張曉華, 等.ePTFE人工腱索二尖瓣成形術.心肺血管病雜志, 2000, 19(2):96-98.
7. 楊進福, 唐浩, 周新民, 等.人工腱索加瓣環成形在二尖瓣前瓣脫垂修復中的應用.中南大學學報(醫學版), 2012, 37(9):920-922.
8. 孫海寧, 王巍, 宋云虎, 等.二尖瓣成形術治療二尖瓣前葉脫垂的療效分析.中國胸心血管外科臨床雜志, 2010, 17(4):283-286.
9. 馬寧, 李治安, 孟旭, 等.實時三維超聲在人工腱索二尖瓣成形術中的應用.中國超聲醫學雜志, 2008, 24(7):620-624.
10. 張衛, 郭震, 葉偉.二尖瓣成形術的臨床應用及療效分析.中國胸心血管外科臨床雜志, 2010, 17(6):503-505.
11. 韓勁松, 王輝山, 尹宗濤, 等.人工腱索移植和馬鞍環環縮修復退行性二尖瓣關閉不全.中國組織工程研究, 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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