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  • Title: [Valve reconstruction for mitral valve insufficiency. Aspects of surgical technique].
    Author: Birnbaum DE.
    Journal: Herz; 1996 Jun; 21(3):159-65. PubMed ID: 8767858.
    Abstract:
    In mitral regurgitation it is undoubtful that reconstruction of the valve aims in functional better results with low risk for the patients. Due to patho-anatomic diversity it is not only necessary to reconstruct individually chordae and leaflets but also to choose selectively the kind for a proper annular reconstruction method. If after repair of the moving parts of the valve there is a central reflux persistent an annular reconstruction should be performed such as De Vega-plasty, whereas an excentric regurgitation makes the implantation of an annular ring mandatory. By this differential approach the risk for persistence of mitral insufficiency is diminished postoperatively.
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