Trends in surgical treatment of mitral valve insufficiency – news and analysis review

Authors: I.I. Skopin, I.M. Tsiskaridze

Company: A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

UDC: 616.126.42-008.64-089(048.8)"4*10"

Cite as: Skopin I.I., Tsiskaridze I.M. Trends in surgical treatment of mitral valve insufficiency – news and analysis review. Bull. of BCCVS for Cardiovascular Surgery "Cardiovascular diseases", 2016; 17 (3): 27-46

Received / Accepted: 08.04.2016

Keywords: mitral valve reconstruction degenerative disease mitral valve prolapse Gore-Tex loops ischemic mitral regurgitation infective endocarditis minimally invasive surgery

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Abstract

Mitral valve diseases associated with serious complications. Mitral valve reconstruction is superior to mitral valve replacement in terms of operative mortality, preservation of left ventricular function and long-term survival, with fewer valve-related complications. The management of asymptomatic patients with severe MR however remains controversial. Asymptomatic patients with chronic severe mitral regurgitation may develop irreversible left ventricular dysfunction despite a «normal» resting ejection fraction. The etiology of mitral valve diseases has an impact on the complexity and number of repair techniques required to achieve a successful valve repair, mainly because of the difference in burden of lesions encountered. Carpentier's principles of a reconstructive valve operation are: preserve or restore full leaflet motion, create a large surface of coaptation, remodel and stabilize the entire annulus. The objective of our information-analytical review – identification of trends in the surgical treatment of mitral valve insufficiency.

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About the authors

Scopin Ivan Ivanovich, MD, PhD, DSc, Professor, Chief of Department;
Tsiskaridze Irma Mikhaylovna, MD, PhD, Senior Research Associate, Cardiac Surgeon;

News

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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