The Early Phase of Clinical Application: Lessons Learned

作者: Roberto Lorusso , Enrico Vizzardi , Sandro Gelsomino

DOI: 10.1007/978-3-319-19893-4_6

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摘要: The experience of mitral valve repair (MVR) in the presence anterior or bileaflet involvement has been not as satisfactory results reconstruction for isolated posterior leaflet dysfunction [1–4]. Indeed, whereas quadrangular resection other reparative techniques have widely applied with remarkable long-lasting effects [5], insufficiency (MVI) caused by mechanisms than prolapse associated more complex and time-consuming methods characterized higher rates recurrent MVI “French correction” proposed Carpentier certainly provided major breakthroughs reconstructing variable patterns [6], but postoperative were indisputably less favorable specific settings like anterior, bileaflet, commissural lesions Under these circumstances, traditional often easily reproducible. More expeditious reliable advocated surgical community to overcome above mentioned drawbacks treatment MVI. edge-to-edge (EE) technique was therefore designed provide a simple, quick, reproducible procedure meant restore durable coaptation several patterns, but, particularly, counteract commissural-based MV regurgitation [7].

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