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Three-dimensional mitral valve reconstruction in the choiceof tactics for the valve defect surgical correction

Authors: T.I. Kosareva, V.N. Makarenko, V.A. Mironenko, Sh.A. Maytesyan, A.M. Sleptsova, G.V. Danilov

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

Type:  Brief Reports


DOI: https://doi.org/10.24022/0236-2791-2018-60-4-342-351

For citation: Kosareva T.I., Makarenko V.N., Mironenko V.A., Maytesyan Sh.A., Sleptsova A.M., Danilov G.V. Three-dimensional mitral valve reconstruction in the choice of tactics for the valve defect surgical correction. Russian Journal of Thoracic and Cardiovascular Surgery. 2018; 60 (4): 342–51 (in Russ.). DOI: 10.24022/0236-2791-2018-60-4-342-351

Received / Accepted:  26.10.2017/23.11.2017

Keywords: mitral valve reconstruction valve-sparing operations 3D echocardiography choice of surgical tactics

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Abstract

In current cardiac surgery, the development of valve-sparing techniques becomes an increasingly priority area. Standard two-dimensional transesophageal echocardiography (TEE) allows to assess the condition of the valves, the function and causes of mitral dysfunction. However, two-dimensional echocardiography techniques are limited to scanning an object only in two mutually perpendicular planes. The integration of the three-dimensional reconstruction method into clinical practice allowed to simulate the geometry of the mitral valve. We studied the possibilities of 3D TEE and determined the effect of three-dimensional mitral valve reconstruction on the choice of tactics for surgical correction of the defect. The three most common variants of mitral valve destruction demonstrate the possibilities of 3D TEE, both in diagnosing the pathology requiring correction (which influence the choice of surgical technique), and in evaluating the result of reconstructive intervention (which allows to predict their stability).

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About Authors

  • Tat'yana I. Kosareva, Dr. Med. Sc., Senior Researcher, orcid.org/0000-0002-0845-0706;
  • Vladimir N. Makarenko, Dr. Med. Sc., Professor, Head of Department, orcid.org/ 0000-0002-8700-7592;
  • Vladimir A. Mironenko, Dr. Med. Sc., Head of Department, orcid.org/0000-0003-1533-6212;
  • Shagen A. Maytesyan, Cand. Med. Sc., Research Associate, orcid.org/ 0000-0001-6034-5359;
  • Grigoriy V. Danilov, Junior Researcher, orcid.org/0000-0003-4064-5383;
  • Aleksandra M. Sleptsova, Junior Researcher, orcid.org/0000-0002-4828-2161

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery


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