Commissurotomy Mitral Transventricular

Mitral transventricular commissurotomy: An innovative approach to the treatment of mitral stenosis

Introduction:
Mitral stenosis is one of the most common cardiac pathologies, characterized by a narrow mitral valve opening and limited blood flow from the left atrium to the left ventricle. For many patients, surgery is the only effective way to restore normal mitral valve function. However, traditional surgical methods, such as mitral commissurotomy through atriotomy, may be associated with certain complications and require a long recovery time.

New approach:
Mitral transventricular commissurotomy (mitralis transventricularis) is an innovative approach to the surgical treatment of mitral stenosis. This procedure is performed through direct access to the mitral valve through the left ventricle, providing a more precise and controlled intervention.

Procedure:
Mitral transventricular commissurotomy is performed using special instruments and video endoscopic technology. The surgeon creates a small hole in the left ventricle to access the mitral valve. Then the commissure is separated between the anterior and posterior commissures, which allows the opening of the mitral valve to widen and normal blood flow to be restored.

Advantages:
Mitral transventricular commissurotomy offers a number of advantages over traditional methods of surgical treatment of mitral stenosis. First, access through the left ventricle reduces the risk of damage to surrounding tissues and structures of the heart. Secondly, more precise division of the commissures allows better control of the expansion of the mitral valve orifice and achieve an optimal result. In addition, mitral transventricular commissurotomy can be performed using minimally invasive techniques, which shortens the patient's recovery time and reduces the risk of complications after surgery.

Complications and limitations:
Like any surgical procedure, mitral transventricular commissurotomy may be accompanied by certain complications. Possible complications include bleeding, infection, damage to adjacent heart structures, and arrhythmias. Additionally, not all patients may be eligible for this procedure due to medical reasons.

Conclusion:
Mitral transventricular commissurotomy is an innovative approach to the treatment of mitral stenosis. This surgical technique provides a more precise and controlled separation of the mitral valve commissures, which allows restoration of normal blood flow and improved cardiac function. Despite the potential complications, mitral transventricular commissurotomy may represent an advantage for certain patients, especially when minimally invasive techniques are used. However, the decision to use this procedure must be made individually, taking into account the characteristics of each patient and consultation with an experienced cardiac surgeon.

Please note that this article is just a hypothetical text and does not constitute medical advice. You should always consult a qualified healthcare provider before making any treatment decisions.

In cardiology, heart valve stenosis is operated on. Valve leaflet prolapse is also a heart defect. Heart valves prevent blood from flowing back from the chambers of the heart - into the aorta through the aortic valve and left atrium chamber - into the left ventricle through the aortic valve and mitral valve.

Distinguish between stenosis and insufficiency of heart valves

In some patients, the valve “sinks”; its leaflets do not close individually, for example, with a congenital defect - a bicuspid aortic valve. Such patients suffer from aortic valve insufficiency. Other's