The proportion of valve sparing techniques among isolated mitral valve operations is growing rapidly. The relative percentage is about 50% both in the US and in Europe however, in certain centers it correlates to 80-90%. Qinical outcome after mitral surgery is largely affected by patient age, preoperative symptoms and potential heart failure whereas ejection fraction has less effect. Surgery-related determinants of operative risk are governed by mitral reparability, which ensures reduced risk. Indispensable elements of successful valve sparing surgery are transthoracic two-dimensional echocardiography and color Doppler echocardiography as well as fluent communication between echocardiographers and cardiac surgeons. Echo diagnostics with transoesophageal echocardiography allows functional assessment of the lesion helping surgeons to select the optimal surgical technique and intraoperative evaluation of results. All necessary conditions are currently available in Hungarian cardiac centers to perform valve sparing cardiac surgery. Although case numbers are still limited with optimal patient selection and outstanding surgical skills preliminary results are promising.
|Translated title of the contribution||Valve sparing mitral surgery|
|Number of pages||8|
|Publication status||Published - Dec 1 2009|
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