Cardiovascular Surgery
doi: 10.25005/2074-0581-2021-23-3-366-378
ALL THE NEW IS THE WELL FORGOTTEN OLD: AUTOPERICARDIAL MITRAL ANNULOPLASTY FOR DEGENERATIVE DEFECTS

S.A. Zhurko1, A.B. Gamzaev1,2, K.M. Aminov1,2, P.V. Pimenova1

1Specialized Cardiac Surgery Clinical Hospital named after Academician B.A. Korolyov, Nizhny Novgorod, Russian Federation
2Department of Endovascular Diagnostics and Treatment, Privolzhsky Research Medical University, Nizhny Novgorod, Russian Federation

Objective: To present the first-hand results of a modified mitral annuloplasty (MA) with an autopericardial strip (APS) in degenerative mitral valve disease (DMVD).

Methods: Fifty-three patients with DMVD (mean age, 54.9±9.5 years (36-78 years); n=32 men (60.4%) and n=21women (39.6%)) undergoing MA with an APS, between January 2017 and January 2020 were retrospectively studied. In the overwhelming majority of cases, triangular and quadrangular resections of the P2 segment were performed. In addition, in some cases, neochords were implanted to the A2 segment. Intraoperatively, the result of MA was considered satisfactory if, according to transoesophageal echocardiography, the degree of mitral regurgitation (MR) did not exceed grade 1.

Results: No in-hospital mortality was observed. One female patient had an early relapse caused by the rupture of one of the neochords at the A2 segment. However, the MR did not exceed grade 2, and the patient was actively followed up. Conclusion: Individual APS length selection avoids overcorrecting and achieves adequate systolic and diastolic mitral valve performance.

Keywords: Annuloplasty, mitral regurgitation, autopericardium, mitral regurgitation.

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Authors' information:

Zhurko Sergey Aleksandrovich
Candidate of Medical Sciences, Head of the Cardiac Surgery Department № 2, Specialized Cardiac Surgery Clinical Hospital named after Academician B.A. Korolyov
ORCID ID: 0000-0002-5222-1329
E-mail: zhurkoser@mail.ru

Gamzaev Alishir Bagi Ogly
Doctor of Medical Sciences, Cardiovascular Surgeon, Specialized Cardiac Surgery Clinical Hospital named after Academician B.A. Korolyov; Leading Researcher, Department of Endovascular Diagnostics and Treatment, Privolzhsky Research Medical University
ORCID ID: 0000-0001-7617-9578
E-mail: a.gamzaev@yandex.ru

Aminov Komron Mirzokarimovich
Cardiovascular Surgeon, Specialized Cardiac Surgery Clinical Hospital named after Academician B.A. Korolyov; Applicant, Department of Endovascular Diagnostics and Treatment, Privolzhsky Research Medical University
ORCID ID: 0000-0002-7495-7468
E-mail: aminiyon94@mail.ru

Pimenova Polina Vyacheslavovna
Doctor of Functional and Ultrasound Diagnostics, Specialized Cardiac Surgery Clinical Hospital named after Academician B.A. Korolyov
ORCID ID: 0000-0002-1728-9125
E-mail: polya.pimenova@yandex.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Aminov Komron Mirzokarimovich
Cardiovascular Surgeon, Specialized Cardiac Surgery Clinical Hospital named after Academician B.A. Korolyov; Applicant, Department of Endovascular Diagnostics and Treatment, Privolzhsky Research Medical University

603950, Russian Federation, Nizhny Novgorod, Vaneeva str., 209

Tel.: +7 (910) 1401073

E-mail: aminiyon94@mail.ru

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