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Revista Brasileira de Cirurgia Cardiovascular-Brazilian Journal of Cardiovascular Surgery 2012, 27 2

Autor: Francisco Gregori Junior

Fuente: http://www.redalyc.org/articulo.oa?id=398941885021


Introducción



Revista Brasileira de Cirurgia Cardiovascular-Brazilian Journal of Cardiovascular Surgery ISSN: 0102-7638 revista@sbccv.org.br Sociedade Brasileira de Cirurgia Cardiovascular Brasil Gregori Junior, Francisco Conservative surgical management of mitral insufficiency: an alternative approach Revista Brasileira de Cirurgia Cardiovascular-Brazilian Journal of Cardiovascular Surgery, vol.
27, núm.
2, abril-junio, 2012, pp.
312-317 Sociedade Brasileira de Cirurgia Cardiovascular São José do Rio Preto, Brasil Available in: http:--www.redalyc.org-articulo.oa?id=398941885021 How to cite Complete issue More information about this article Journals homepage in redalyc.org Scientific Information System Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Non-profit academic project, developed under the open access initiative REVIEW ARTICLE Rev Bras Cir Cardiovasc 2012;27(2):312-7 Conservative surgical management of mitral insufficiency: an alternative approach Tratamento cirúrgico conservador da insuficiência mitral: uma abordagem alternativa Francisco Gregori Junior1 DOI: 10.5935-1678-9741.20120049 RBCCV 44205-1386 Abstract Mitral valve insufficiency is frequently the result of elongated or ruptured chordae tendineae.
Several techniques have been described for its correction.
However, when there is a severe elongation or rupture of the chordae, the most widely accepted treatment option has been valve replacement. The best long-term outcomes observed in conservative surgeries led us to choose this procedure rather than the correction of mitral valve insufficiency.
We described three techniques for correction of mitral prolapse due to elongated and-or ruptured chordae tendineae.
In addition, we developed mold pre built bovine pericardial chords (Braile-Gregori prosthesis) for chordae replacement.
Finally, since 1987, the rigid prosthetic semicircular ring (Gregori-Braile ring) has been consistently used in our centre for correction o...





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