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Kardiologie up2date 2007; 3(4): 311-322
DOI: 10.1055/s-2007-995438
Angeborene und erworbene Herzfehler

© Georg Thieme Verlag KG Stuttgart · New York

Mitralklappenrekonstruktion bei eingeschränkter linksventrikulärer Funktion

Thomas  Günther, Rüdiger  Lange
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Publication History

Publication Date:
14 January 2008 (online)

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Kernaussagen

  • Patienten mit chronischer Mitralinsuffizienz und schwer eingeschränkter LV-Funktion (LV-EF ≤ 30 %) stellen ein Hochrisikokollektiv mit einer Vielzahl von Begleiterkrankungen dar. Dennoch sollte ihnen im Hinblick auf das operative Risiko die Klappenoperation nicht verweigert werden.

  • Mit Hilfe der Mitralklappenrekonstruktion lässt sich nachweislich eine deutliche klinische Verbesserung erreichen, die ihr Korrelat in einer Verbesserung der kardialen Funktionsparameter (LV-EF, Schlagvolumen, EDV, ESV) hat.

  • Die Mitralklappenrekonstruktion ist dem Klappenersatz vorzuziehen. Ist der Klappenersatz unvermeidlich, sollte der subvalvuläre Halteapparat in jedem Fall erhalten bleiben.

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Dr. Thomas Günther

Klinik für Herz- und Gefäßchirurgie

Deutsches Herzzentrum

Lazarettstr. 36

80636 München

Phone: 089 1218-4111

Fax: 089 1218-4123

Email: Guenther@dhm.mhn.de