Open AccessPosterior cusp enlargement in mitral valve reconstructive surgery for restrictive valve insufficiency: Case report
Author(s) -
Ivan Stojanović,
Ljiljana Jovović,
Milan Vuković,
Ljiljana Trkulja,
Željko Bojović
Publication year - 2007
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh0710562s
Subject(s) - medicine , mitral valve , cardiology , mitral regurgitation , mitral valve repair , regurgitation (circulation) , surgery , cusp (singularity) , mathematics , geometry
According to Carpentier classification, group III of mitral insufficiency is caused by the restrictive motion of the mitral valve. A rheumatic process and a coronary disease are the main causes. It is very important to examine the valve precisely, to define deformities and aetiology in order to make such a valve functional. In rheumatic disease, fibrosis and degeneration deform the entire mitral apparatus. A surgical principle is to re-establish mobility and pliability of the apparatus taking care of the functional anatomy at the same time. Cusp enlargement, chordal mobilization and ring remodelling arejust some of the numerous surgical techniques that could be performed in these patients.