[Plastic and reconstructive surgery of the mitral valve].

The mitral valve replacement is a common and live-saving procedure, many complications may occur as therefore: endocarditis, thromboembolism, and bleedings because the lifelong coumarin medication. Therefore, reconstruction the patient's own mitral valve may cut many problems afrementioned. Mitral valve is composed by 6 anatomic elements. For each, mitral stenosis, incompetence or combination of both, typical patho-anatomical changes exist. Before surgical correction these lesions want be recognized during surgery and appropriate correction selected. The correction may preserve the physiologic entity and function of mitral valve for long time.