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European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2006

The 'Valve Racket': a new and different concept of atrioventricular valve repair.

Оценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало

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Bernal José M, García Iván, Morales Dieter, Diago Carmen, Ruiz Blanca, Val Fernando, Ojeda José L, Revuelta José M

Аннотация

OBJECTIVE: Mitral regurgitation due to prolapse of the mitral leaflets frequently compromises annuloplasty repair procedures. We present a new annuloplasty ring that overcomes this difficulty, preventing displacement of the leaflets into the atrium.

METHODS: The 'Valve Racket' is a prosthetic ring transformed into a racket by means of handmade mesh using expanded polytetrafluoroethylene (ePTFE Gore-Tex). After transection of the marginal chordae tendineae, five sheep had the new racket implanted in the mitral (n = 3) and in the tricuspid position (n = 2). The surviving sheep underwent postoperative evaluation.

RESULTS: After six months of operation, a standard transthoracic study showed competent valves without significant gradients and without residual valve regurgitation. The ring appeared encapsulated by a uniform fibrous tissue but the threads showed a completely denuded surface except in the zone proximal to the ring. Thrombi or calcification deposits in the ring, racket's mesh, or cardiac chamber were not observed.

CONCLUSION: This initial experience confirmed the efficacy and simplicity of the technique.

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