Interv Akut Kardiol 2012; 11(3-4): 112-116

Mitral valve preserving surgery

Jan Harrer, Pavel Žáček, Jan Vojáček, Jan Dominik, Arnošt Drašnar

Kardiochirurgická klinika LF UK a Kardiocentrum FN Hradec Králové

Introduction: The history of mitral valve surgery is presented followed by an analysis of the aetiology of mitral valve disease.

Methods: The principles of valve preserving procedures are discussed, with an emphasis placed on professor Carpentier's school of

mitral valve preserving surgery, and the classification of mitral regurgitation established by him is mentioned. Further development in

mitral valve surgery using minimally invasive approaches is also presented.

Group of surgical patients and results: In the years 2006–2010, 621 mitral valve procedures were performed at our department. Valve

preserving surgery was carried out in 512 patients, accounting for 82.5%. The 30-day mortality in the group of patients treated with

mitral valve plasty was 3.3%. Most cases involved combined procedures (surgery on other valves, myocardial revascularization, surgery

for atrial fibrillation, and others). Initial results of mitral valve plasties using a minimally invasive approach are also reported.

Conclusion: Mitral valve preserving procedures are increasingly performed compared to replacement surgery. Our results are comparable

to the data published.

Keywords: valve preserving surgery, mitral valve disease, mitral valve surgery, mitral valve plasty, mitral valve repair

Published: May 11, 2012  Show citation