Changes of left ventricular structure and function after minimally invasive repair of mitral valve prolapse
10.7507/1007-4848.201901010
- VernacularTitle:二尖瓣脱垂微创修复手术后左心室结构和功能改变
- Author:
YAO Liping
1
,
2
;
DONG Liya
3
;
ZHANG Li
3
;
XU Zhen
3
;
MEI Ju
3
;
DING Fangbao
3
Author Information
1. 1.Department of Cardiothoracic Surgery, Congming Brach of Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, P.R.China
2. 2. Department of Cardiothoracic Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, P.R.China
3. Department of Cardiothoracic Surgery, Congming Brach of Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, P.R.China
- Publication Type:Journal Article
- Keywords:
Minimally invasive repair;
mitral valve prolapse;
echocardiography;
left ventricular diastolic function
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(10):958-962
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the changes of left ventricular structure and function by echocardiography and its grading of left ventricular diastolic function in patients with mitral valve prolapse treated by minimally invasive mitral valve repair. Methods By retrospective analysis, 37 patients including 25 males and 12 females aged 53.49±11.02 years with mitral valve prolapse who underwent minimally invasive mitral valve repair were as an operation group, and 34 healthy persons including 19 males and 15 females aged 54.26±8.33 years matched by age and sex were selected as a control group. Ultrasound parameters of every participant were routinely collected before operation, 1 month, 3 months, 6 months and 1 year after operation, and left ventricular diastolic function was graded. The ultrasound parameters between the two groups were compared. Results The diameters of left ventricular end systolic and diastolic phase, left atrial diameter and left ventricular volume in the operation group were significantly smaller than those before operation. The diameters of left ventricle and left atrium after operation were significantly shorter than those before operation, but they were still larger than those of the control group. The ejection fraction value decreased significantly at one month after the operation and then returned to normal level. The incidence of left ventricular diastolic dysfunction at 6 months and 1 year after operation was significantly lower than that before operation (P<0.05). Conclusion Minimally invasive repair for patients with mitral valve prolapse can significantly improve systolic and diastolic functions of left ventricle while reconstructing left atrial and left ventricular structures.
