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Der Klinikarzt 2020; 49(09): 382-387
DOI: 10.1055/a-1246-2857
DOI: 10.1055/a-1246-2857
Schwerpunkt
Operative Mitralklappenrekonstruktion
Immer endoskopisch?Further Information
Publication History
Publication Date:
19 September 2020 (online)
ZUSAMMENFASSUNG
Die Mitralklappeninsuffizienz (MI) gehört neben der Aortenklappenstenose zu den häufigsten Klappenfehlern in den westlichen Ländern. Man unterscheidet je nach Pathologie zwischen der primären (degenerativen) und der sekundären (funktionellen) MI. Für die degenerative MI ist der therapeutische Goldstandard die chirurgisch-klappenerhaltende Korrektur des entsprechenden Klappenfehlers. Durch die Modernisierung der Herzchirurgie hat sich in den letzten Jahren zunehmend der Trend in Richtung minimal-invasiver Eingriffe gewandelt. Die in den letzten Jahren vorgestellten Methoden unterscheiden sich hauptsächlich im Zugangsweg. Der rechtsseitige anterolaterale Zugang ist aufgrund der guten Sicht auf die Mitralklappe inzwischen sowohl national als auch international als minimal-invasiver Zugang der Wahl etabliert. In wenigen spezialisierten Zentren wird darüber hinaus der videoassistierte total-endoskopische Zugangsweg mit exzellenten Ergebnissen angewendet.
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Literatur
- 1 Iung B, Baron G, Butchart EG. et al. A prospective survey of patients with valvular heart disease in Europe: The Euro heart survey on valvular heart disease. Eur Heart J 2003; 624: 1231-1243
- 2 Nkomo VT, Gardin JM, Skelton TN. et al. Burden of valvular heart diseases: a population-based study. Lancet 2006; 6368: 1005-1011
- 3 Baumgartner H, Falk V, Bax JJ. et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Rev Esp Cardiol Engl 2018; Ed71: 110
- 4 Carpentier A.. Cardiac valve surgery – The „French correction“. J Thorac Cardiovasc Surg 1983; 686: 323-337
- 5 Beckmann A, Meyer R, Lewandowski J. et al. German Heart Surgery Report 2017: The annual updated Registry of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2018; 666: 608-621
- 6 Arom KV, Emery RW.. Minimally invasive mitral operations. Ann Thorac Surg 1997; 663: 1219-1220
- 7 Cohn LH, Adams DH, Couper GS. et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg 1997; 6226: 421-428
- 8 Cosgrove 3rd DM, Sabik JF, Navia JL.. Minimally invasive valve operations. Ann Thorac Surg 1998; 665: 1535-1539
- 9 Loulmet DF, Carpentier A, Cho PW. et al. Less invasive techniques for mitral valve surgery. J Thorac Cardiovasc Surg 1998; 6115: 772-779
- 10 Chitwood WR, Wixon CL, Elbeery JR. et al. Video-assisted minimally invasive mitral valve surgery. J Thorac Cardiovasc Surg 1997; 6114: 773-780
- 11 Reichenspurner H, Boehm D, Reichart B.. Minimally invasive mitral valve surgery using three-dimensional video and robotic assistance. Semin Thorac Cardiovasc Surg 1999; 611: 235-243
- 12 Mohr FW, Falk V, Diegeler A. et al. Minimally invasive Port.Access mitral valve surgery. J Thoracic Cardiovasc Surg 1998; 615: 567-576
- 13 Mohr FW, Onnasch JF, Falk V. et al. The evolution of minimally invasive valve surgery – two year experience. Eur J Cardiothorac Surg 1999; 615: 233-238
- 14 Sündermann SH, Falk V, Jacobs S.. Mitral valve reconstruction-Timing, surgical techniques and results. Swiss Med Wkly 2012; 142: w13715
- 15 Davierwala PM, Seeburger J, Pfannmueller B. et al. Minimally invasive mitral valve surgery: „The Leipzig experience“. Ann Cardiothorac Surg 2013; 62: 744-750
- 16 Detter C, Boehm DH, Reichenspurner H.. Minimally invasive valve surgery: Different techniques and approaches. Expert Rev Cardiovasc Ther 2004; 62: 239-251
- 17 Onnasch J-F, Schneider F, Falk V. et al. Five years of less invasive mitral valve surgery: From experimental to routine approach. Heart Surg Forum 2002; 65: 132-135
- 18 Van Praet KM, Stamm C, Sündermann SH. et al. Minimally invasive surgical mitral valve repair: State of the art review. Interv Cardiol (Lond) 2018; 613: 14-19
- 19 Lancellotti P, Tribouilloy C. Hagendorff et al. Recommendations for the echocardiographic assessment of native valvular regurgitation: an executive summary from the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 2013; 614: 611-644
- 20 Welp H, Martens S.. Minimally invasive mitral valve repair. Curr Opin Anaesthesiol 2014; 627: 65-71
- 21 Lazam S, Vanoverschelde JL, Tribouilloy C. et al. Twenty-Year Outcome After Mitral Repair Versus Replacement for Severe Degenerative Mitral Regurgitation: Analysis of a Large, Prospective, Multicenter, International Registry. Circulation 2017; 6135: 410-422
- 22 Enriquez-Sarano M, Avierinos JF, Messika-Zeitoun D. et al. Quantitative determinants of the outcome of asymptomatic mitral regurgitation. N Engl J Med 2005; 6352: 875-883
- 23 Suri RM, Schaff HV, Enriquez-Sarano M.. Mitral valve repair in asymptomatic patients with severe mitral regurgitation: pushing past the tipping point. Semin Thorac Cardiovasc Surg 2014; 626: 95-101
- 24 Enriquez-Sarano M.. Timing of mitral valve surgery. Heart 2002; 687: 79-85
- 25 Navia JL, Cosgrove DM. et al. A technique for mitral valve operations is described in which exposure is performed through a small right parasternal incision. Ann Thorac Surg 1996; 65: 1542-1544
- 26 Svensson LG.. Minimal-access „J“ or „j“ sternotomy for valvular, aortic, and coronary operations or reoperations. Ann Thorac Surg 1997; 664: 1501-1503
- 27 Ailawadi G, Agnihotri AK, Mehall JR. et al. Minimally invasive mitral valve surgery I: Patient selection, evaluation, and planning. Innovations (Phila) 2016; 611: 243-250
- 28 Fuchs J, Schafbuch L, Ebinger M. et al. Minimally invasive surgery for pediatric tumors-Current state of the art. Front Pediatr 2014; 62: 48
- 29 Falk V, Walther T, Autschbach R. et al. Robot-assisted minimally invasive solo mitral valve operation. J Thoracic Cardiovasc Surg 1998; 6115: 470-471
- 30 Casselman FP, Van Slycke S, Dom H. et al. Endoscopic mitral valve repair: feasible, reproducible and durable. J Thoracic Cardiovasc Surg 2003; 273-282
- 31 Murzi M, Cerillo AG, Miceli A. et al. Antegrade and retrograde arterial perfusion strategy in minimally invasive mitral-valve surgery: A propensity score analysis on 1280 patients. Eur J Cardiothorac Surg 2013; 643: e167-e172
- 32 Cao C, Gupta S, Chandrakumar D. et al. A meta-analysis of minimally invasive versus conventional mitral valve repair for patients with degenerative mitral disease. Ann Cardiothorac Surg 2013; 62: 693-703
- 33 Cheng DCH, Marin J, Lal A. et al. Minimally invasive versus conventional open mitral valve surgery: A meta-analysis and systematic review. Innovations (Phila) 2011; 66: 84-103
- 34 Beckmann A, Meyer R, Lewandowski J. et al. German Heart Surgery Report 2018: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2019; 667: 331-344
- 35 Seeburger J, Borger MA, Falk V. et al. Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. Eur J Cardiothorac Surg 2008; 634: 760-765
- 36 Mkalaluh S, Szczechowicz M, Dib B. et al. Early and long-term results of minimally invasive mitral valve surgery through a right mini-thoracotomy approach: a retrospective propensity-score matched analysis. PeerJ. 2018; 6: e4810
- 37 Sündermann SH, Sromicki J, Rodrigez Cetina Biefer H. et al. Mitral Valve Surgery: Right Lateral Minthoracotomy or Sternotomy? A Systemic Review and Meta-Analysis. J Thorac Cardiovasc Surg 2014; 6148: 1989-1995
- 38 Sündermann SH, Czerny M, Falk V.. Open vs. Minimally Invasive Mitral Valve Surgery: Surgical Technique, Indications and Results. Cardiovasc Eng Technol 2015; 66: 160-166