Клинические и фундаментальные аспекты протезирования и транслокации хорд митрального клапана

Автор: Макогончук Иван Сергеевич, Евтушенко Алексей Валерьевич, Евтушенко Владимир Валериевич

Журнал: Сибирский журнал клинической и экспериментальной медицины @cardiotomsk

Рубрика: Обзоры и лекции

Статья в выпуске: 1 т.33, 2018 года.

Бесплатный доступ

В данной статье приводится обзор современных методик лечения пролапса митрального клапана вследствие дегенерации. Медикаментозное лечение пациентов с пролапсом митрального клапана малоэффективно. Предпочтение в данном случае следует отдать хирургическому лечению. Показано, что при выборе тактики вмешательства важно учитывать не только наличие самой патологии, но и исходное функциональное состояние элементов подклапанного аппарата. Так, среди методов хирургического лечения протезирование клапана при данной патологии имеет значительные недостатки по сравнению с реконструктивной хирургией. Показано разнообразие техник пластики митрального клапана. Представлены преимущества и недостатки каждого из методов.

Еще

Хирургическое лечение пролапса митрального клапана, разнообразие техник пластики митрального клапана

Короткий адрес: https://sciup.org/149125196

IDR: 149125196   |   DOI: 10.29001/2073-8552-2018-33-1-27-32

Список литературы Клинические и фундаментальные аспекты протезирования и транслокации хорд митрального клапана

  • Enriquez-Sarano C. W., Akins A., Vahanian M. Mitral regurgitation. Lancet. 2009; 373: 1382-1394.
  • Falk V., Baumgartner H., Bax J. J., De Bonis M., Hamm C., Per Holm J., Biung B., Lancellotti P., Lansac E., Rosenhek D. R. M. R., Sjogren J., Mas P. T., Vahanian A., Walther T., Wendler O., Windecker S., Zamorano J. L., ESC Scientific Document Group. Guidelines for the management of valvular heart disease. The Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). 2017 ESC/EACTS. Eur. J. Cardiothorac. Surg. 2017; 52: 616-664.
  • Rajamannan N. M. Myxomatous mitral valve disease bench to bedside: LDL density-pressure regulates Lrp. Expert Rev. Cardiovasc. Ther. 2014; 12: 383-392.
  • Delling F. N., Vasan R. S. Epidemiology and Pathophysiology of Mitral Valve Prolapse New Insights into Disease Progression Genetics, and Molecular Basis. Circulation. 2014; 129: 2158-2170.
  • Бокерия Л. А., Гудкова Р. Г. Сердечно-сосудистая хирургия - 2015. Болезни и врожденные аномалии системы кровообращения. 2016; 1: 396-400 [Bokeria L. A., Gudkova R. G. Cardiovascular Surgery - 2015. Diseases and congenital anomalies of the circulatory system. 2016; 1: 396-400] (In Russ).
  • Ling L. H., Enriquez-Sarano J. B., Ling Seward L. H. Clinical outcome of mitral regurgitation due to flail leaflet. N. Engl. J. Med. 1996; 335(19): 1417-1423.
  • Grigioni F., Enriquez-Sarano M., Ling L. H., Bailey K. R., Seward J. B., Tajik A. J., Frye R. L. Sudden death in mitral regurgitation due to flail leaflet. J. Am. Coll. Cardiol. 1999; 34(7): 2078-2085.
  • Rosen S. E., Borer J. S., Hochreiter C., Supino P., Roman M. J., Devereux R. B., Kligfield P., Bucek J. Natural history of the asymptomatic/ minimally symptomatic patient with severe mitral regurgitation secondary to mitral valve prolapse and normal right and left ventricular performance. Am. J. Cardiol. 1994; 74: 374-380.
  • Avierinos J. F., Gersh D. J., Melton L. J., Bailey K. R., Shub C., Nishimura R. A., Tajik A. J., Enriquez-Sarano M. Natural history of asymptomatic mitral valve prolapse in the community. Circulation. 2002; 106: 1355-1361.
  • Enriquez-Sarano M., Avierinos J. F., Messika-Zeitoun D., Detaint D., Capps M., Nkomo V., Scott C., Schaff H. V., Tajik A. J. Quantitative determinants of the outcome of asymptomatic mitral regurgitation. N. Engl. J. Med. 2005; 352: 875-883.
  • Krauss J. Prognostic implication of valvular lesion and left ventricular size in asymptomatic patients with chronic organic mitral regurgitation and normal left ventricular performance. Am. Heart J. 2006; 152: 1004-1008.
  • Daneshmand M. A., Milano C. A., Rankin J. S., Honeycutt E. F., Swaminathan M., Shaw L. K., Smith P. K., Glower D. D. The surgical treatment of mitral valve prolapse: a 20-year perspective. Ann. Thorac. Surg. 2009; 88: 1828-1837.
  • Nishimura R. Valvular Heart Disease Guideline. JACC. 2014; 63(22): 157-185.
  • Enriquez-Sarano M. Echocardiographic prediction of left ventricular function after correction of mitral regurgitation: results and clinical implications. J. Am. Coll. Cardiol. 1994; 24: 1536-1543.
  • Gillinov A. M. Durability of mitral valve repair for degenerative disease. J. Thorac. Cardiovasc. Surg. 1998; 116: 734-743.
  • Carpentier A. A. Carpentier’s reconstructive valve surgery. Sanders Elsevier. 2010; 10: 95-97.
  • Perier P. «Sliding Leaflet» Technique for Repair of the Mitral Valve: Early Results. Ann. Thorac. Surg. 1994; 57: 383-386.
  • Fucci C., Sandrelli L., Pardini A., Torracca L., Ferrari M., Alfieri O. Improved results with mitral valve repair using new surgical techniques. Eur. J. Cardiothorac. Surg. 1995; 9(11): 621-627.
  • Alfieri O., Maisano F., De Bonis M., Stefano P. L., Torracca L., Oppizzi M., La Canna G. The double-orifice technique in mitral valve repair: a simple solution for complex problems. J. Thorac. Cardiovasc. Surg. 2001 Oct; 122(4): 674-681.
  • Reimink M. S., Kunzelman K. S., Cochran R. P. The effect of chordal replacement suture length on function and stresses in repaired mitral valves: a finite element study. J. Heart Valve Dis. 1996; 5: 365-375.
  • David T.E. Artificial chordae. Semin. Thorac. Cardiovasc. Surg. 2004; 16: 161-168.
  • Frater R.W. 10th Goretex Chorda anniversary. J. Heart Valve Dis. 1996; 5: 348-351.
  • Vetter H. O., Factor S. M., Frater R. W. The use of glycerol-treated homologous pericardium as a substitute for cusps and chordae tendineae of the mitral valve in sheep. J. Thorac. Cardiovasc. Surg. 1987; 35: 11-15.
  • Von Oppell U. O., Mohr F. Chordal replacement for both minimally invasive and conventional mitral valve surgery using premeasured Gore-Tex loops. Ann. Thorac. Surg. 2000; 70: 2166-2168.
  • Pretre R., Khatchatourov G., Kadner A., Genoni M. Application and adjustment of artificial chordae to the mitral valve using an approach through the aortic valve. Ann. Thorac. Surg. 2006; 82: 761-762.
  • Adams D. H., Kadner A., Chen R. H. Artificial mitral valve chordae replacement madesimple. Ann. Thorac. Surg. 2001; 71: 1377-1379.
  • Kasegawaatal H., Kamata S., Hirata S., Kobayashi N., Mannouji E., Ida T., Kawase M. Simple method for determining proper length of artificial chordae in mitral valve repair. Ann. Thorac. Surg. 1994; 57: 237-239.
  • Doi A., Iida H., Sunazawa T. Intracardiac calipers for artificial chordae replacement in mitral valve repair. Ann. Thorac. Surg. 2009; 87: 326-328.
  • Matsui Y., Fukada Y., Naito Y., Sasaki S., Yasuda K. A new device for ensuring the correct length of artificial chordae in mitral valvuloplasty. Ann. Thorac. Surg. 2005; 79: 1064-1065.
  • Mandegar M. H., Yousefnia F., Roshanali M. A. Preoperative determination of artificial chordae length. Ann. Thorac. Surg. 2007; 84: 680-682.
  • Chang J. P., Kao C. L. Slit stent technique for ensuring the correct length of artificial chordae in mitral repair. Card. Surg. 2011; 26: 259-260.
  • Matsui Y. S., Kubota H., Sugiki S., Wakasa T., Ooka T. Measured tube technique for ensuring the correct length of slippery artificial chordae in mitral valvuloplasty. Ann. Thorac. Surg. 2011; 92: 1132-1134.
  • Chan D. T. L., Chin C. S. W., Chang L. L., An T. W. K. Artificial chordae: a simple clip and tie technique. J. Thorac. Cardiovasc. Surg. 2008; 136: 1597-1599.
  • Tam R., Joshi P., Konstantinov I. E. A simple method of preparing artificial chordae for mitral valve repair. J. Thorac. Cardiovasc. Surg. 2006; 132: 1486-1487.
  • Chocron S. Removable clips for mitral valve repair. Thorac. Cardiovasc. Surg. 2007; 133: 1682-1683.
  • Duran C. M., Pekar F. Techniques for ensuring the correct length of new mitral chords. J. Heart Valve Dis. 2003; 12: 156-161.
  • Fattouch K., Bianco G., Sbraga F., Sampognaro R., Ruvolo G. Simple, safe and easy technique to ensure the correct length of artificial chordae in mitral valve repair. Ann. Thorac. Surg. 2007; 83: 1902-1903.
  • Maselli D., De Paulis R., Weltert L., Salica A., Scaffa R., Bellisario A., Mingiano A., Celi S., Di Puccio F. A new method for artificial chordae length ‘tuning’ in mitral valve repair: preliminary experience. J. Thorac. Cardiovasc. Surg. 2007; 134: 454-459.
  • Shudo Y., Taniguchi K., Takahashi T., Matsue H. Simple and easy method for chordal reconstruction during mitral valve repair. Ann. Thorac. Surg. 2006; 82(1): 348-349.
  • Cagli K. A simple method of making artificial chordal loops for mitral valve repair. Ann. Thorac. Surg. 2010; 89: e12-14.
  • Scorsin M. A., Al-Attar N., Lessana A. Novel technique of utilizing artificial chordae for repair of mitral valve prolapsed. J. Thorac. Cardiovasc. Surg. 2007; 134: 1072-1073.
  • Ruyra-Baliarda X. Preliminary experience with the no prolapse system. A new device for ensuring the proper length of artificial chordae in mitral valve repair. Interact. Cardiovasc. Thorac. Surg. 2010; 10: 165-167.
  • Garcia-Fuster R., Gil O., Vazquez A., Garcia A., Martinez-Leon J. The folding leaflet: a simple method for neochordal repair. Ann. Thorac. Surg. 2010; 89: 1682-1684.
  • Bajona P., Katz W. E., Daly R. C., Zehr K. J., Speziali G. Beatingheart, off-pump mitral valve repair by implantation of artificial chordae tendineae an acute in vivo animal study. J. Thorac. Cardiovasc. Surg. 2009; 137: 188-193.
  • Seeburger J., Leontjev S., Neumuth M., Noack T., Hobartner M., Misfeld M., Borger M. A., Mohr F. W. Trans-apical beating-heart implantation of neo-chordae to mitral valve leaflets: results of an acute animal study. Eur. J. Cardiothorac. Surg. 2012; 41: 173-176.
  • Seeburger J., Rinaldi M., Nielsen S. L., Salizzoni S., Lange R., Schoenburg M., Alfieri O., Borger M. A., Mohr F. W., Aidietis A. Off-Pump Transapical Implantation of Artificial Neo-Chordae to Correct Mitral Regurgitation. J. Am. Coll. Cardiol. 2014; 63(9): 914-919.
  • Maisano F. M., Cioni J., Seeburger V., Falk F., Mohr W., Mack M. J. Beating-heart implantation of adjustable length mitral valve chordae: acute and chronic experience in an animal model. Eur. J. Cardiothorac. Surg. 2011; 40: 840-847.
  • Falk V., Seeburger J., Czesla M., Borger M.A., Willige J., Kuntze T., Doll N., Borger F., Perrier P., Mohr F. W. How does the use of polytetrafluoroethylene neochordae for posterior mitral valve prolapse (loop technique) compare with leaflet resection? A prospective randomized trial. J. Thorac. Cardiovasc. Surg. 2008; 136: 1205-1206.
  • Calafiore A. M. Choice of artificial chordae length according to echocardiographic criteria. Ann. Thorac. Surg. 2006; 81: 375-377.
  • Fukuoka M., Nonaka M., Masuyama S., Shimamoto T., Tambara K., Yoshida H., Ikeda T., Komeda M. Chordal «translocation» for functional mitral regurgitation with severe valve tenting: an effort to preserve left ventricular structure and function. J. Tehran Heart Cent. 2008 Aug; 7(3): 92-99
Еще
Статья обзорная