Conservative surgical management of mitral insufficiency: an alternative approach
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2012
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| _version_ | 1876428575871074304 |
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| author | Francisco Gregori Junior |
| author_facet | Francisco Gregori Junior |
| contents | Conservative surgical management of mitral insufficiency: an alternative approach Francisco Gregori Junior Medicina surgery Mitral valve Mitral valve insufficiency Mitral valve insufficiency is frequently the result of elongated or ruptured chordae tendineae. Several techniques have been described for its correction. However, when there is a severe elongation or rupture of the chordae, the most widely accepted treatment option has been valve replacement. The best long-term outcomes observed in conservative surgeries led us to choose this procedure rather than the correction of mitral valve insufficiency. We described three techniques for correction of mitral prolapse due to elongated and/or ruptured chordae tendineae. In addition, we developed mold pre built bovine pericardial chords (Braile-Gregori prosthesis) for chordae replacement. Finally, since 1987, the rigid prosthetic semicircular ring (Gregori-Braile ring) has been consistently used in our centre for correction of the posterior dilation of mitral annulus preferably in its portion close to the posteromedial commissure. 2012 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941885021 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.27 |
| format | Artículo científico |
| id | redalyc_398941885021 |
| institution | Redalyc |
| language | en |
| publishDate | 2012 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Conservative surgical management of mitral insufficiency: an alternative approach Francisco Gregori Junior Medicina surgery Mitral valve Mitral valve insufficiency Conservative surgical management of mitral insufficiency: an alternative approach Francisco Gregori Junior Medicina surgery Mitral valve Mitral valve insufficiency Mitral valve insufficiency is frequently the result of elongated or ruptured chordae tendineae. Several techniques have been described for its correction. However, when there is a severe elongation or rupture of the chordae, the most widely accepted treatment option has been valve replacement. The best long-term outcomes observed in conservative surgeries led us to choose this procedure rather than the correction of mitral valve insufficiency. We described three techniques for correction of mitral prolapse due to elongated and/or ruptured chordae tendineae. In addition, we developed mold pre built bovine pericardial chords (Braile-Gregori prosthesis) for chordae replacement. Finally, since 1987, the rigid prosthetic semicircular ring (Gregori-Braile ring) has been consistently used in our centre for correction of the posterior dilation of mitral annulus preferably in its portion close to the posteromedial commissure. 2012 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941885021 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.27 |
| title | Conservative surgical management of mitral insufficiency: an alternative approach |
| topic | Medicina surgery Mitral valve Mitral valve insufficiency |
| url | https://www.redalyc.org/articulo.oa?id=398941885021 |