二尖瓣成形的技术要点(中英文）演示幻灯片.pptVIP

Anterior Prolapse Repair Techniques Chordal transfer Artificial chordae Others Edge-to-edge repair Limited resection Commissural Prolapse Repair Technique 交界脱垂成形技术 瓣环成形 瓣环成形的指征 矫正后瓣环扩大 增加瓣叶贴合面 增强版换缝线 预防将来扩张 结果 病理解剖 N = 1072 Post. Chordal Rupture 49% Dilated Annulus 16% Elongated Chordae 24% Ant. Post. Chordal Rupture 5% Ant. Chordal Rupture 6% 生存 100 90 80 70 60 50 0 2 4 6 8 10 % 99% 93% 81% Years 免予再次手术 100 95 90 85 80 75 0 2 4 6 8 10 % Years 99% 97% 93% 结论 二尖瓣成形 95% 瓣膜可成形 6 种技术 生存率 免予再次手术率 Technical Tips Tricks for Mitral Valve Repair Joseph F. Sabik, M.D. The Cleveland Clinic Surgical