编者按：第24届亚洲心脏血管及胸腔外科学会（ASCVTS）暨第四届亚洲单孔胸腔镜论坛（ASPVS）4月9日的“二尖瓣”专场上，参会专家针对二尖瓣病变治疗的相关话题进行了分享和交流。AME编辑部邀请了来自日本滋贺医科大学的Tohru Asai教授和来自泰国胸部疾病研究所的Taweesak Chotivatanapong教授进一步讨论二尖瓣病变目前的治疗情况，以及面临的挑战。
What’s the current management and future challenges of mitral valve disease?
Could you give brief introduction of butterfly technique? What are the indications for butterfly technique?
What are the challenges of minimally resection approach for complex mitral valve repair?
Is valve repair preferable to valve replacement in mitral valve disease?
Dr. Tohru Asai is Professor and Chairman at the Department of Surgery, Shiga University of Medical Science, Otsu, Japan. The department has one of the largest cardiovascular practices for advanced heart and vascular diseases in Japan. He was a pioneer surgeon performing total arterial multi-vessel off-pump coronary artery bypass (first in 1996), developed the ultrasonic skeletonization harvesting method for the gastroepiploic artery graft (in 2001), invented “butterfly resection technique” for degenerative mitral valve repair (in 2006), and innovated new “extended sandwich patch” method for postinfarction VSD repair. He has also been known as an expert surgeon for technically-demanding aortic arch surgery, total aortic arch replacement by a branched prosthetic graft with mild hypothermia. Dr. Tohru Asai serves on several editorial boards, he is currently a board director of ISMICS. He has committed international cooperative activities, from regular visits to Choray Hospital (Ho Chi Minh City, Vietnam), surgical live demonstrations in Malaysia, to educational lectures in the US, Spain, Italy, Croatia, China, Korea, India, Thailand, and Argentine. Domestic and foreign cardiac surgeons have frequently viewed his high-quality surgical videos at his web site, http://www.youtube.com/user/asaitoru.
Dr. Taweesak Chotivatanapong is Chairman at the Department of Cardiothoracic Surgery Chest Disease Institute, Nonthaburi, Thailand. He received his B.Sc from the Faculty of Medical Science, Mahidol University Bangkok, Thailand, follow Royal Collage of Surgeons of Thailand (FRCST) and the Master of Mangement, SASIN Institute of Business Administration, Chulalongkorn University, Bangkok, Thailand. Dr. Taweesak is a world-renowned cardio-thoracic surgeon, who is familiar with the technique of mitral valve repair.