OBJECTIVES: We evaluated posterior annuloplasty results using a flexible linear reducer, especially as a cardiac surgical procedure. METHODS: Subjects were 24 patients consisting of 20 men and 4 women aged 7 to 79 years (mean; 61.3 years) with mitral regurgitation who underwent mitral valve reconstruction using a flexible linear reducer from May 1999 to April 2001. Mitral regurgitation was attributed to myocardial ischemia in 9 (37.5%). Isolated mitral valve repair was conducted only in 3 (12.5%) and concomitant procedures in 21 (87.5%). RESULTS: No operative deaths occurred. One hospital death (4.2%) occurred due to cardiac failure on postoperative day 58. Four late deaths (16.7%) occurred 8 to 15 months after surgery due to heart failure, stroke, and cancer. No patients required reoperation and no perioperative complications occurred. Doppler echocardiography conducted in all patients within a month postoperatively showed excellent valve function: 11 (45.8%) had no residual regurgitation, 5 (20.8%) had trivial insufficiency, 6 (25%) had mild insufficiency, 2 (8.3%) had moderate insufficiency, and none had severe insufficiency. We observed significantly reducted enddiastolic and systolic left ventricular diameter while ejection fraction remained unchanged. CONCLUSIONS: Posterior mitral annuloplasty using a flexible linear reducer is simple, saves time, and is useful for the small left atrium and as an additional procedure in other cardiac surgery.
OBJECTIVES: We evaluated posterior annuloplasty results using a flexible linear reducer, especially as a cardiac surgical procedure. METHODS: Subjects were 24 patients consisting of 20 men and 4 women aged 7 to 79 years (mean; 61.3 years) with mitral regurgitation who underwent mitral valve reconstruction using a flexible linear reducer from May 1999 to April 2001. Mitral regurgitation was attributed to myocardial ischemia in 9 (37.5%). Isolated mitral valve repair was conducted only in 3 (12.5%) and concomitant procedures in 21 (87.5%). RESULTS: No operative deaths occurred. One hospital death (4.2%) occurred due to cardiac failure on postoperative day 58. Four late deaths (16.7%) occurred 8 to 15 months after surgery due to heart failure, stroke, and cancer. No patients required reoperation and no perioperative complications occurred. Doppler echocardiography conducted in all patients within a month postoperatively showed excellent valve function: 11 (45.8%) had no residual regurgitation, 5 (20.8%) had trivial insufficiency, 6 (25%) had mild insufficiency, 2 (8.3%) had moderate insufficiency, and none had severe insufficiency. We observed significantly reducted enddiastolic and systolic left ventricular diameter while ejection fraction remained unchanged. CONCLUSIONS: Posterior mitral annuloplasty using a flexible linear reducer is simple, saves time, and is useful for the small left atrium and as an additional procedure in other cardiac surgery.
Authors: A Deloche; V A Jebara; J Y Relland; S Chauvaud; J N Fabiani; P Perier; G Dreyfus; S Mihaileanu; A Carpentier Journal: J Thorac Cardiovasc Surg Date: 1990-06 Impact factor: 5.209
Authors: A C Galloway; S B Colvin; F G Baumann; R Esposito; R Vohra; S Harty; R Freeberg; I Kronzon; F C Spencer Journal: Circulation Date: 1988-09 Impact factor: 29.690
Authors: L H Cohn; W Kowalker; S Bhatia; V J DiSesa; M St John-Sutton; R J Shemin; J J Collins Journal: Ann Thorac Surg Date: 1988-03 Impact factor: 4.330
Authors: L Camilleri; M Filaire; A Repossini; B Legault; V Eder; J P Fleury; P Bailly; C de Riberolles Journal: J Card Surg Date: 1995-03 Impact factor: 1.620