Publication at Faculty of Medicine in Hradec Králové |
2023
Abstract
Reconstructive surgery for mitral regurgitation was initiated already in the early 1970s. A systematic assessment of a regurgitant mitral valve and a comprehensive portfolio of surgical interventions have been valuable contributions by A.
Carpentier. Crucial elements are annular remodelling by means of an annuloplasy ring, unrestricted mobility od the valve leaflets, and creation of a large zone of coaptation.
These principles have been shown tob consistently valid and mitral repair is nowadays performed extensively with excellent results. Over the years, some additional refinements in th surgical technique have been introduced and, currently, mitral repair can also be performed through a minimlly invasive approach or robotically.