tjcl

Turkish Journal of Clinics and Laboratory

2149-8296

DNT Ortadoğu Yayıncılık A.Ş.

10.18663/tjcl.1307942

Health Care Administration

Sağlık Kurumları Yönetimi

Posteriyor mitral liflet prolapsusunun Fundaro anüloplasti ile onarımı: Sütür anüloplasti teknikleri cerraha yardımcı olabilir mi?

Correction of posterior mitral leaflet prolapse with Fundaro annuloplasty: Can suture annuloplasty techniques be helpful for surgeon?

Mola

Serkan

Günertem

Eren

https://orcid.org/0000-0002-4675-3273

Çiçek

Ömer Faruk

Yaşar

Emre

Erkengel

Halil İbrahim

https://orcid.org/0000-0002-0639-4341

Lafçı

Gökhan

06 30 2023

14 2 222 227 05 31 2023 06 01 2023

2010

Turkish Journal of Clinics and Laboratory

AmaçFundaro anuloplasti, inferior miyokard enfarktüsü nedeniyle oluşan mitral yetmezlikte lifletlerin asimetrik bağlanması için geliştirilmiş bir posteriyor liflet onarım tekniğidir. Çalışmamızda fundaro anuloplasti tekniğinin operatif ve orta dönem sonuçlarımızı paylaşmayı amaçladık.Gereç ve YöntemlerTip 3b mitral yetersizliği nedeniyle Fundaro anuloplasti uygulanan 30 hasta çalışmaya dahil edildi. Bu hasta grubundan 20 hastaya KABG ile birlikte Fundaro anuloplasti uygulandı, geri kalan 10 hastaya kombine işlemler uygulandı. Hastaların takiplerinde fizik muayene, elektrokardiyografi ve transtorasik ekokardiyografi yapıldı.BulgularÇalışmaya alınan hastaların ortalama takip süresi 35,8±20,3 aydı (min:1 max:59). İntraoperatif yapılan TEE verilerine göre 24 (%80) hastada MY saptanmadı. Hastaların ameliyat sonrası ortalama takip süresi 35,8±20,3 aydı. İzlemde 23 (%76,7) hastada tekrarlayan MY izlenmedi. Postoperatif erken dönemde 2 (%6,7) hastada mortalite gelişti. Fonksiyonel kapasitelerinde anlamlı iyileşme gözlendi(p

AimFundaro annuloplasty is a posterior leaflet repair technique developed for asymmetric tethering of mitral leaflets due to inferior myocardial infarction. ". In our study, we aimed to share our the operative and mid-term results of the fundaro annuloplasty technique.Material and Methods30 patients who underwent Fundaro annuloplasty for type 3b mitral regurgitation were included in the study. Fundaro annuloplasty with CABG was performed in 20 patients from this patient group, the remaining 10 patients underwent combined procedures. During the flollow-ups of the patients, physical examination, electrocardiography and transthoracic echocardiography were performed.ResultsThe mean follow-up period of the patients included in the study was 35.8±20.3 months (min:1 max:59). According to the TEE datas performed intraoperatively, MR was not detected in 24 (80%) patients. The mean postoperative follow-up period of the patients was 35.8±20.3 months. During the follow-up period, recurrent MR was not observed in 23 (76.7%) patients. Mortality developed in 2 (6.7%) patients in the early postoperative period. Significant improvement was observed in their functional capacities(p

mitral valve ischemic heart disease fundaro annuloplasty

mitral kapak iskemik kalp hastalığı fundaro anüloplasti

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