Mitral kapak replasmanı için yen bir biliflet koruma tekniği: Lafçı'nın katlama tekniği

Subvalvüler yapıların korunması mitral kapak replasmanı sırasında ek olarak uygulanan, düşük kardiyak debi sendromu ve ilişkili olabilecek komplikasyonların prevelansını azaltan bir prosedürdür. Her iki lifletin ya da izole posteriyor lifletin korunmasını sağlayan birden çok teknik bu zamana kadar tariflenmiştir. Biz bu yazıda mitral kapak replasmanı sırasında “Lafçı'nın anteriyor liflet katlama tekniği” adını verdiğimiz ve uyguladığımız modifiye bir biliflet koruma tekniğini tariflemeyi amaçladık.Herhangi bir rezeksiyon yapmadan tek bir dikiş ile hem kapağı anülüse sabitleyecek hem de lifletin korunmasını sağlayacak bu tekniğin kros-klemp zamanlarını kısaltan, uygun anatomiye sahip hastalarda basit ve uygulanabilir bir teknik olduğu inancındayız

Anahtar Kelimeler:

biliflet koruma, mitral kapak replasmanı, cerrahi teknik

A novel bileaflet sparing technique during mitral valve replacement: Lafci’s fold down technique

Sub-valvular apparatus preservation procedure is an additional technique to mitral valve replacement which decrease the prevalence of low cardiac output syndrome and associated complications that may be seen after mitral valve replacement. A number of surgical techniques for both bileaflet and posterior leaflet preservation have been described previously. We aimed to share how we do the bileaflet preservation with a modified technique, Lafci’s anterior leaflet fold down technique, in selected patients who underwent mitral valve replacement procedure.With absence of resection and use of same sutures for both sparing leaflet and fixing mechanical valve may shorten cross-clamping time, and so, we believe that this technique is simple, reproducible when it is appropriate for the patient’s existing anatomy.

Keywords:

bileaflet sparing, mitral valve replacement, surgical technique,

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