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DEVICE AND METHOD FOR THE SURGICAL TREATMENT OF ISCHEMIC MITRAL REGURGITATION

机译:外科手术治疗缺血性三尖瓣返流的装置和方法

摘要

A device for the treatment of ischemic mitral regurgitation of a damaged left ventricle having an opposing papillary muscles displaced laterally or axially relative to the mitral annulus. The device includes a lateral limb configured to extend between opposing papillary muscles of a left ventricle and first and second axial limbs extending from spaced points on the lateral limb to form an essentially U-shaped configuration. The first and second axial limbs are configured to extend between the lateral limb and a mitral annulus. A method for the treatment of mitral regurgitation comprises extending a first segment of the lateral limb of the device across opposing sides of a ventricle near opposing papillary muscles. The segment of the first lateral limb is shortened as needed to put the first and second papillary muscles into a substantially normal lateral position relative to the mitral annulus and the length of the segment of the first lateral limbs is fixed. The method further includes extending a segment of the first axial limb between the lateral limb and the mitral annulus and extending a segment of the second axial limb between the lateral limb and the mitral annulus. The first and second axial limb segments are then shortened, as needed, to put opposing papillary muscles into a substantially normal axial position relative to the mitral annulus and the lengths of the segments of the first and second axial limbs are fixed.
机译:一种用于治疗受损的左心室的缺血性二尖瓣反流的装置,该左心室具有相对的乳头肌,其相对于二尖瓣环横向或轴向移位。该装置包括被配置为在左心室的相对乳头肌与从侧肢上的间隔点延伸的第一和第二轴向肢之间延伸以形成基本U形构造的侧肢。第一和第二轴向肢被构造成在侧肢和二尖瓣环之间延伸。一种用于治疗二尖瓣反流的方法,该方法包括将装置的侧肢的第一段延伸越过相对的乳头肌附近的心室的相对侧。根据需要缩短第一侧肢的节段以将第一和第二乳头肌置于相对于二尖瓣环的基本正常的侧向位置,并且第一侧肢的节段的长度是固定的。该方法进一步包括在侧肢和二尖瓣环之间延伸第一轴向肢的一部分并且在侧肢和二尖瓣环之间延伸第二轴向肢的片段。然后根据需要缩短第一和第二轴向肢体节段,以将相对的乳头肌置于相对于二尖瓣环的基本正常的轴向位置,并且固定第一和第二轴向肢体节段的长度。

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