缺血性二尖瓣关闭不全的治疗(英文）精选.pptVIP

ISCHEMIC MITRAL REGURGITATION 首都医科大学附属北京安贞医院心外科 甘辉立 PURPOSE Is valve repair superior to valve replacement for ischemic mitral regurgitation? DEFINITION Previous MI Normal MV MECHANISM Ruptured papillary muscle Infarcted papillary muscle Functional MECHANISM REGURGITANT JET WALL MOTION ABNORMALITIES MITRAL VALVE PROCEDURE REPAIR TECHNIQUES % Annuloplasty 98 Pap muscle shortening 10 Chordal shortening 8 Leaflet resection 5 Pap muscle reimplant 2 ANNULOPLASTY SIZE OPERATIVE MORTALITY OPERATIVE MORTALITY Replacement 26% Repair 8% RISK FACTORS Advanced Age Higher