. . "\u00DAvod: Je uvedena historie v\u00FDkon\u016F na mitr\u00E1ln\u00ED chlopni. N\u00E1sleduje anal\u00FDza etiologie posti\u017Een\u00ED mitr\u00E1ln\u00ED chlopn\u011B. Metodika: D\u00E1le jsou probr\u00E1ny principy z\u00E1chovn\u00FDch operac\u00ED se zd\u016Frazn\u011Bn\u00EDm \u0161koly z\u00E1chovn\u00FDch operac\u00ED mitr\u00E1ln\u00ED chlopn\u011B podle prof. Carpentiera s p\u0159ipomenut\u00EDm j\u00EDm zaveden\u00E9 klasifikace mitr\u00E1ln\u00EDch regurgitac\u00ED. Je t\u00E9\u017E uveden dal\u0161\u00ED rozvoj mitr\u00E1ln\u00ED chirurgie s vyu\u017E\u00EDv\u00E1n\u00EDm miniinvazivn\u00EDch p\u0159\u00EDstup\u016F. Soubor operovan\u00FDch a vlastn\u00ED v\u00FDsledky: Na na\u0161\u00ED klinice bylo v letech 2006-2010 provedeno 621 v\u00FDkon\u016F na mitr\u00E1ln\u00ED chlopni. Z\u00E1chovn\u00E1 operace byla provedena u 512 pacient\u016F, co\u017E p\u0159edstavuje 82,5 %. T\u0159icetidenn\u00ED mortalita u souboru pacient\u016F l\u00E9\u010Den\u00FDch plastikou byla 3,3 %. Ve v\u011Bt\u0161in\u011B p\u0159\u00EDpad\u016F se jednalo o kombinovan\u00E9 v\u00FDkony (v\u00FDkony na ostatn\u00EDch chlopn\u00EDch, revaskularizace myokardu, v\u00FDkony pro fibrilaci s\u00EDn\u00ED a jin\u00E9). Uv\u00E1d\u00EDme t\u00E9\u017E inici\u00E1ln\u00ED v\u00FDsledky plastik mitr\u00E1ln\u00ED chlopn\u011B z miniinvazivn\u00EDch p\u0159\u00EDstup\u016F. Z\u00E1v\u011Br: Z\u00E1chovn\u00E9 operace mitr\u00E1ln\u00ED chlopn\u011B jsou prov\u00E1d\u011Bny ve srovn\u00E1n\u00ED s n\u00E1hradami st\u00E1le \u010Dast\u011Bji. Na\u0161e v\u00FDsledky jsou srovnateln\u00E9 s publikovan\u00FDmi \u00FAdaji."@cs . . "Z\u00E1chovn\u00E9 operace mitr\u00E1ln\u00ED chlopn\u011B"@cs . . . "5"^^ . "\u00DAvod: Je uvedena historie v\u00FDkon\u016F na mitr\u00E1ln\u00ED chlopni. N\u00E1sleduje anal\u00FDza etiologie posti\u017Een\u00ED mitr\u00E1ln\u00ED chlopn\u011B. Metodika: D\u00E1le jsou probr\u00E1ny principy z\u00E1chovn\u00FDch operac\u00ED se zd\u016Frazn\u011Bn\u00EDm \u0161koly z\u00E1chovn\u00FDch operac\u00ED mitr\u00E1ln\u00ED chlopn\u011B podle prof. Carpentiera s p\u0159ipomenut\u00EDm j\u00EDm zaveden\u00E9 klasifikace mitr\u00E1ln\u00EDch regurgitac\u00ED. Je t\u00E9\u017E uveden dal\u0161\u00ED rozvoj mitr\u00E1ln\u00ED chirurgie s vyu\u017E\u00EDv\u00E1n\u00EDm miniinvazivn\u00EDch p\u0159\u00EDstup\u016F. Soubor operovan\u00FDch a vlastn\u00ED v\u00FDsledky: Na na\u0161\u00ED klinice bylo v letech 2006-2010 provedeno 621 v\u00FDkon\u016F na mitr\u00E1ln\u00ED chlopni. Z\u00E1chovn\u00E1 operace byla provedena u 512 pacient\u016F, co\u017E p\u0159edstavuje 82,5 %. T\u0159icetidenn\u00ED mortalita u souboru pacient\u016F l\u00E9\u010Den\u00FDch plastikou byla 3,3 %. Ve v\u011Bt\u0161in\u011B p\u0159\u00EDpad\u016F se jednalo o kombinovan\u00E9 v\u00FDkony (v\u00FDkony na ostatn\u00EDch chlopn\u00EDch, revaskularizace myokardu, v\u00FDkony pro fibrilaci s\u00EDn\u00ED a jin\u00E9). Uv\u00E1d\u00EDme t\u00E9\u017E inici\u00E1ln\u00ED v\u00FDsledky plastik mitr\u00E1ln\u00ED chlopn\u011B z miniinvazivn\u00EDch p\u0159\u00EDstup\u016F. Z\u00E1v\u011Br: Z\u00E1chovn\u00E9 operace mitr\u00E1ln\u00ED chlopn\u011B jsou prov\u00E1d\u011Bny ve srovn\u00E1n\u00ED s n\u00E1hradami st\u00E1le \u010Dast\u011Bji. Na\u0161e v\u00FDsledky jsou srovnateln\u00E9 s publikovan\u00FDmi \u00FAdaji." . "Dra\u0161nar, Arno\u0161t" . "1213-807X" . "Z\u00E1chovn\u00E9 operace mitr\u00E1ln\u00ED chlopn\u011B"@cs . "CZ - \u010Cesk\u00E1 republika" . . . "Z\u00E1chovn\u00E9 operace mitr\u00E1ln\u00ED chlopn\u011B" . "Mitral valve preserving surgery"@en . "Interven\u010Dn\u00ED a akutn\u00ED kardiologie" . "Voj\u00E1\u010Dek, Jan" . . . "Z\u00E1chovn\u00E9 operace mitr\u00E1ln\u00ED chlopn\u011B" . . "Mitral valve preserving surgery"@en . . "Dominik, Jan" . "[ABA1449BA0E0]" . . "181329" . . . "11" . "5"^^ . . "RIV/00179906:_____/12:10129501!RIV13-MZ0-00179906" . "I" . . "mitral valve repair; mitral valve plasty; mitral valve surgery; mitral valve disease"@en . . "3-4" . "5"^^ . "Introduction: The history of mitral valve surgery is presented followed by an analysis of the aetiology of mitral valve disease. Methods: The principles of valve preserving procedures are discussed, with an emphasis placed on professor Carpentier's school of mitral valve preserving surgery, and the classification of mitral regurgitation established by him is mentioned. Further development in mitral valve surgery using minimally invasive approaches is also presented. Group of surgical patients and results: In the years 2006-2010, 621 mitral valve procedures were performed at our department. Valve preserving surgery was carried out in 512 patients, accounting for 82.5%. The 30-day mortality in the group of patients treated with mitral valve plasty was 3.3%. Most cases involved combined procedures (surgery on other valves, myocardial revascularization, surgery for atrial fibrillation, and others). Initial results of mitral valve plasties using a minimally invasive approach are also reported. Conclusion: Mitral valve preserving procedures are increasingly performed compared to replacement surgery. Our results are comparable to the data published."@en . "RIV/00179906:_____/12:10129501" . . "\u017D\u00E1\u010Dek, Pavel" . . . "Harrer, Jan" .