Evaluation of Immediate and Long-Term Results of Mitral Valve Plasty by Echocardiography.

ALEKSEY NOVIKOV Marina Uimanova The Center of Cardiovascular Surgery, P.V. Mandryka Central Military Clinical Hospital, Russian Ministry of Defense, Moscow, MO, Russia Igor Borisov The Center of Cardiovascular Surgery, P.V. Mandryka Central Military Clinical Hospital, Russian Ministry of Defense, Moscow, MO, Russia

Echocardiographic evaluation of the function of the mitral valve (MV) with its insufficiency at the preoperative, intraoperative and remote stages for the selection of the optimal tactics for valve-preserving surgical intervention.

Reconstructive interventions on the MV were performed in 101 patients out of 140 operated on for mitral insufficiency (MI). Annuloplasty in combination with interventions on the valves and / or chords was performed in 92 patients, plastic for Alfieri - 9 patients.

Conclusions: 1. Valve-saving correction managed to perform in 71% of patients.

The presence of MI with postinfarction left ventricular aneurysms is an indication to annuloplasty.
The average gradient on the MV of 5 mm Hg is always preserved in the long-term period does not indicate hypercorrection of MI.

ALEKSEY NOVIKOV