摘要Summary of the Experience in Perioperative Accelerated Recovery Care of a Patient with Severe Mi-tral Valve Regurgitation,Mitral Valve Prolapse,Coronary Heart Disease,and Hypertension Undergoing Trans-esophageal Echocardiography-Guided Mitral Valve Chord Repair System and Artificial Chord Implantation through the Apex of the Heart The patient had a history of coronary heart disease and hypertension,and was diagnosed with mitral valve pro-lapse and severe mitral regurgitation at admission.According to the comprehensive evaluation of the patient's con-dition by the cardiac surgery and MDT(Multidisciplinary Team)team of our hospital before operation,the patient had severe degenerative mitral regurgitation.Considering the high risk of surgical valvuloplasty,the treatment plan of transapical mitral valve artificial chordae implantation with mitral chordae repair system under the guidance of esophageal ultrasound was formulated.Following the guidelines for accelerated recovery,a multidisciplinary ap-proach was taken during the surgery to monitor the patient's condition.Preoperative waiting periods,the postopera-tive critical period,and the stabilization period were considered,and a rehabilitation program that included exer-cise,nutritional support,health education,and psychological care was developed for the entire perioperative accel-erated recovery process.Nutritional support,health education and psychological nursing were throughout the whole process of perioperative enhanced recovery.The patient was implanted with 4 artificial chordae tendineae.Transesophageal echocardiography monitoring showed that the surgical treatment effect was satisfactory,and no complications occurred during the perioperative period.[S Chin J Cardiol 2023;24(3):168-175]