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Articolul urmator |
107 0 |
Căutarea după subiecte similare conform CZU |
616.126.42-089 (2) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (978) |
SM ISO690:2012 MOSCALU, Vitalie. Repair surgical techniques in degenerative cardiac valve disease. In: Moldovan Medical Journal, 2023, nr. 2(66), pp. 29-35. ISSN 2537-6373. DOI: https://doi.org/10.52418/moldovan-med-j.66-2.23.05 |
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Moldovan Medical Journal | ||||||
Numărul 2(66) / 2023 / ISSN 2537-6373 /ISSNe 2537-6381 | ||||||
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DOI:https://doi.org/10.52418/moldovan-med-j.66-2.23.05 | ||||||
CZU: 616.126.42-089 | ||||||
Pag. 29-35 | ||||||
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Background: Re-evaluation of reconstructive possibilities in the correction of degenerative mitral valve disease is of great clinical necessity nowadays. Material and methods: Analyzing the nature of the pathologies that determined the development mechanism of valve insufficiency, 136 cases of anterior cusp prolapse and 152 cases of posterior cusp prolapse were determined. Results: Cord rupture was established in 79 (58.9%) patients, cusp defects (”Cleft”) were appreciated in positions A1, A2, A3 – 15 cases (5.9%) and in P1, P2, P3 – in 92 (86.6%) cases. The surgical techniques performed were separated into: (1) resection – for the anterior and posterior cusps – 45 cases and accompanied by the slide – in 30 cases; (2) with Gore-Tex neo-chordal implantation – 115 cases, with cord transfer – 30; (3) Cusp enlargement with autologous pericardium – 5 cases, Alfieri procedure – 8. Implantation of a support ring required 130 (97.0%) patients. The correction of the associated valve disease required 125 patients (De Vega – 89.1%, ring – 8). Coronary bypass was required – 16 patients. There were no postoperative fatal cases. Conclusions: Based on the data obtained, reconstructive repair surgery can be can recommend for valves of degenerative, post-traumatic, ischemic, post-endocardial etiology as effective and sustainable techniques over time, being a superior alternative to replacement with prosthetic valves. |
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Cuvinte-cheie mitral valve repair, degenerative valve disease, cardiac valve surgery |
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