A Mıtral Valve Reconstructıon Case After 16 Years Of Closed Mıtral Commıssurotomy

Mitral stenosis is the most frequently encountered valvular pathology and may require surgical intervention when the lesion is severe in rheumatic etiology.It is now clearly established that restoration of a normal mitral valve function with reconstructive surgery is preferable to replacement with a device,whether bioprosthetic or mechanical. Closed mitral comissurotomy(CMC) was the first effective intervention in valvular heart disease. In this study we're presenting a new valve reconstruction technique used successfully in reoperation of a case who had CMC operation 16 years ago and symptomless up to last 4 months and the first patient repaired successfully after CMC.Mitral valve repair in rheumatic disease is technically difficult.From a purely surgical point of view,a safe myocardial protection,excellent valve exposure,and a direct visual testing method for competence are also essential.However excellent long-term results support flexibility in mitral valve repair.