Barlow's mitral valve disease: results of conventional and minimally invasive repair approaches.

摘要: Barlow's valve is a clinically important form of degenerative mitral (MV) disease that characterized by unique clinical, echocardiographic and pathological features. Successful durable repair MV represents clinical challenge for most cardiac surgeons. An armamentarium different techniques may be required, resectional, neochordal or plicational techniques. Although conventional sternotomy remains the mainstay approach surgery in majority centers, minimally invasive (MIS) becoming increasingly accepted amongst patients, referring physicians practicing As surgical approaches, instrumentation operative experience develop, select centers are now performing MIS nearly all patients. successful more complex than pathologies, several have published relatively large series disease. In this review article, we highlight compare early long-term results approaches to bileaflet prolapse Recent studies from various volume around world demonstrated equivalent safety efficacy outcomes compared surgery. addition, allow patients benefit cosmetically appealing incision, faster recovery quicker return normal activities. However, definite learning curve has been If patient with other pathology desires undergo surgery, referral center and/or surgeon extensive recommended.