Mitral valve repair

Viac o knihe

Surgical options for treating degenerative, ischemic, inflammatory, and functional mitral valve diseases have significantly expanded in recent decades. A key dilemma remains in using prosthetic mitral valves, as mechanical valves offer durability but necessitate anticoagulation, while biological valves have unpredictable longevity. Recent advancements indicate that reconstructing the mitral valve with autologous tissues can effectively resolve this issue, eliminating the need for anticoagulation and providing excellent durability. This method combines the best attributes of both prosthetic options without their drawbacks. Innovative repair strategies, including autologous pericardial leaflet augmentation and artificial chordal replacement, have broadened reparative techniques for nearly all pathologies, yielding outstanding long-term outcomes compared to prosthetic valve replacements. Currently, mitral repair is becoming the preferred procedure for most patients with mitral valve disease. This book showcases contemporary surgical techniques for various mitral valve repairs, featuring contributions from leading experts. It stems from the Berlin Heart Valve Symposium 2008, titled “The Biological Solution,” with the Mitral Valve Repair session held in June 2009. The publication serves as an authoritative reference for cardiac surgeons, family practitioners, and clinicians, compiling proceedings on current techniques and outcomes