The progress of biological stentless mitral valve.docVIP

 PAGE \* MERGEFORMAT 15 The progress of biological stentless mitral valve Keywords:: biological mitral stentless mitral valve replacement Fu Wai Cardiovascular Institute, Peking Union Medical Hospital * Doctor of traditional cardiovascular stent design and the natural bio-valve heart valve varied widely, due to the presence of aircraft flap caused by stress concentration, easily lead to valve leaflet tear, mitral valve dysfunction 〔 1,2〕 . Traditional biological mitral valve replacement, Central Office needs to implant a hard ring, mitral valve surgery is not retained under the structural integrity, which can affect the postoperative results and left ventricular function. In order to avoid the shortcomings of stent biological valve, so that bio-physical requirements more in line with mitral valve combined with mitral valve devices in recent years in-depth understanding of physiological function, biological stentless mitral valve re-attention. Is now some progress in this regard are reviewed. Types of biological stentless mitral valve According to mitral stentless biological composition of materials can be divided into the following categories: 1. The same kinds of flaps: including the same kinds of mitral valve, aortic valve, pulmonary valve. Began as early as 60 years mitral valve replacement with the kinds of research, because of the surgical methods and organization of preservation restrictions, the results were not very satisfied with 〔 3〕 . Acar et al 〔 4〕 recent report of 43 cases of patients receiving the same kinds of cryopreservation of mitral valve replacement surgery, of which 21 cases were part of the valve replacement, 22 cases for the whole valve replacement, after good results. Follow-up of 14 months, echocardiography 20 patients with no mitral regurgitation, 13 patients with mild reflux, 5 cases of moderate reflux; valve orifice area: Some valve replacement for 2.5 ± 0.4cm2, the whole valve replacement was 2.7 ± 0.4cm2, inter-valve press