Article Sidebar

PDF
Date Published: 01/02/2021
Online Published: 01/02/2021
Abstract Views: 172
Views PDF: 272
DOI: https://doi.org/10.47972/vjcts.v30i.481
Issue
Vol. 30
Section
Research Article
How to Cite
Nghia, N. V. . (2021). Đánh giá kết quả trung hạn sửa van hai lá sử dụng dây chằng nhân tạo. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 30, 110-115. https://doi.org/10.47972/vjcts.v30i.481

Đánh giá kết quả trung hạn sửa van hai lá sử dụng dây chằng nhân tạo

Nguyen Van Nghia

Main Article Content

Abstract

Background and aim of the study: To present mid-term follow-up results of Mitral Valve Repair with Artifitial Chordae. Materials and Methods: From 2015 to 2018, 27 patients underwent mitral valve repair by the technique of applying artifitial chordae in the Heart Institute of Ho Chi Minh, Vietnam. Results: Valve disease was degenerative in most cases. Age ranging of patients 51.67 ± 11.12 years. Regular follow-up ratio was 92.6%, lost follow-up 2 cases. Non-fatal complication: No bacterial endocarditis; Infection: 3.7%. No death after 2 years of follow-up overall. Freedom from re-operation at 2 years was 96.3% (1 case of reoperation related to cardiac insufficiency). The grades of mitral regurgitation at 2 years were 96.3% absent or mild, 3.7% moderate. Conclusions: This study showed excellent mortality and morbidity outcomes with mitral valve repair applying artifitial chordae at 2-year follow-up, confirming reliablility and durability of this technique for the patients. This showed a good solution for mitral regurgitation by safe technique, and increase feasibility of mitral valve repair.


 

Article Details

Keywords

mitral valve repair, neo-chord, degenerative disease

References

1. Ngô Chí Hiếu, Đỗ Doãn Lợi (2013), "Nghiên cứu sự thay đổi huyết động, hình thái chức năng thất trái sau phẫu thuật sa van hai lá tại bệnh viện Tim Hà nội". Tạp Chí Y Học Thực Hành, 4, pp. 29-33.
2. Nguyễn Văn Phan (2014), "Kết quả phẫu thuật sửa van hai lá trong bệnh Barlow tại viện tim TP.HCM từ 1994 đến 2012". Tạp chí Phẫu thuật tim mạch và lồng ngực Việt Nam, 6, pp. 17-23.
3. David T. E et al (2013), "Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: a 25-year experience". J Thorac Cardiovasc Surg, 145 (6), pp. 1563-9.
4. Kitahara H, Murata M (2016), "Preservation of Mobility of the Posterior Mitral Leaflet After Mitral Valve Repair With Neochordae Using Loop Technique". Circ J, 80 (3), pp. 663-7.
5. Morris J. D, Penner D. A, Brandt R. L (1964), "Surgical Correction of Ruptured Chordae Tendineae". J Thorac Cardiovasc Surg, 48, pp. 772-80.
6. Ragnarsson S, Sjogren J (2014), "Polytetrafluoroethylene neochordae is noninferior to leaflet resection in repair of isolated posterior mitral leaflet prolapse: a multicentre study". Interact Cardiovasc Thorac Surg, 19 (4), pp. 577-83.
7. Shibata T, Kato Y (2015), "Mitral valve repair with loop technique via median sternotomy in 180 patients". Eur J Cardiothorac Surg, 47 (3), pp. 491-6.
8. Shibata T et al (2014), "Loop technique for mitral valve repair". Gen Thorac Cardiovasc Surg, 62 (2), pp. 71-7.