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REPAIR / REPLACEMENT

MITRAL VALVE
JULI ISMAIL
RSUP DR.M.JAMIL

VALVULAR DISEASE

MALFORMASI
INFLAMASI
DEGENERATIF
TRAUMA
BAKTERIAL
KALSIFIKASI

CARDIAC DISEASE

ISCHEMIC HEART DISEASE


CARDIOMYOPATHIA
ENDOCARDIAL
FIBROELASTOSIS

ANATOMI

ANNULUS
LEAFLET
CHORDATENDINEA
PAPILLARY MUSCLE
COMMISSURA

ANNULUS

D SHAPE
( TRANVERSA > AP )
BATAS AV - MV

LEAFLET

ANTERO LAT / ANTERIOR

POSTEROMEDIAL /
POSTERIOR

ANT > POST

PATOLOGY

ANNULUS

MALFORMASI KONGENITAL
OSTEOGENESIS IMPERFECTA
MARFANS SYNDROMA
CHRONIC LV DILATASI

LEAFLET

PENEBALAN

CHORDA

SHORTENED
ELONGATED
RUPTURE

PAPILLARY MUSCLE

ISCHEMIC

Kugels artery ?

SURGERY
KEADAAN KATUP
DINAMIK AREA , GRADIEN , MOBILITY
EKSTRA VALVULAR
LA SIZE
THROMBUS
ASSOCIATED SURGERY FUNGSI
MYOCARD
NON CARDIAC
USIA , SEX , SOSIO EKONOMI , LIFE
STYLE

TEKNIK PEMBEDAHAN

CLOSED HEART SURGERY


COMMISUROTOMY

OPEN HEART SURGERY


REPAIR
REPLACEMENT

INDIKASI
NYHA class II + AF
NYHA > class II
Atrial thrombo emboli

EFFORT DYSPNEU
PULMONARY EDEMA
HEMOPTHYSIS
RHF

AF
EMBOLISASI
KALSIFIKASI

COMMISUROTOMY

Closed heart surgery

Via LA

OPEN HEART SURGERY

( DENGAN HEART LUNG MACHINE )

REPAIR
ANNULOPLASTY

prosthetic ring annuloplasty

OPEN COMMISSUROTOMY

REPLACEMENT

BIOLOGICAL VALVE

ALLOGRAFT
BIOPROTESE

CARPENTIERE EDWARD
SHILEY IONESEN

MECHANICAL

BALL CAGE

STARR EDWARD
SMELOFT CUTTER

BAHAN : SILICONE

TILTING DISC
BJORK SHILLEY
OMNISCIENCE
LILEHEI KASTER
HALL KASTER
( MEDTRONIC HALL )

BI LEAFLET

ST JUDE MEDICAL VALVE


DUROMEDICS

TEKNIK

CLOSED HEART

ANTERIOR KIRI

OPEN HEART

STERNOTOMI

Question

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