OBJECTIVE: To evaluate the clinical and echocardiographic results of mitral valve repair done within an 11 year period. DESIGN: Retrospective review of case notes and clinical and echocardiographic examination of survivors. Analysis was made according to the intention to treat principle. PATIENTS: A consecutive series of 94 patients with mitral valve disease who had mitral reconstruction between 1980 and 1991. INTERVENTIONS: Mitral repair according to the techniques of Carpentier or Duran. MAIN OUTCOME MEASURES: Operative mortality, actuarial survival, rates of freedom from reoperation, thromboembolism, infective endocarditis, clinical state, and echocardiographic findings. RESULTS: There were equal numbers of males and females (mean (range) age 49 (4-74) years). The aetiology of mitral disease was degenerative in 59% and rheumatic in 30% of the patients. Operative mortality was 3%. The 10 year actuarial and valve related survival rates were 67% and 75%. At 10 years, 84% of the patients were free from thromboembolism, 94% free from haemorrhage related to anticoagulation, 88% free from infective endocarditis, and 73% free from reoperation. Of 75 survivors with completed follow up, 96% were in New York Heart Association functional class I or II and 64% were in sinus rhythm. Of 55 survivors who had an echocardiogram at follow up, normal left ventricular end diastolic dimension was shown in 76% and normal left ventricular shortening fraction in 89%. Doppler studies showed no mitral regurgitation in 36%, trivial or mild in 42%, moderate in 14%, and severe in 7% of patients. In stepwise logistic analysis previous myocardial infarction was associated with poor outcome (odds ratio: 13.7, p < 0.05). CONCLUSION: The results are comparable with similar studies and support the value of mitral valve repair. There is reservation about the use of repair for patients with previous myocardial infarction.
OBJECTIVE: To evaluate the clinical and echocardiographic results of mitral valve repair done within an 11 year period. DESIGN: Retrospective review of case notes and clinical and echocardiographic examination of survivors. Analysis was made according to the intention to treat principle. PATIENTS: A consecutive series of 94 patients with mitral valve disease who had mitral reconstruction between 1980 and 1991. INTERVENTIONS: Mitral repair according to the techniques of Carpentier or Duran. MAIN OUTCOME MEASURES: Operative mortality, actuarial survival, rates of freedom from reoperation, thromboembolism, infective endocarditis, clinical state, and echocardiographic findings. RESULTS: There were equal numbers of males and females (mean (range) age 49 (4-74) years). The aetiology of mitral disease was degenerative in 59% and rheumatic in 30% of the patients. Operative mortality was 3%. The 10 year actuarial and valve related survival rates were 67% and 75%. At 10 years, 84% of the patients were free from thromboembolism, 94% free from haemorrhage related to anticoagulation, 88% free from infective endocarditis, and 73% free from reoperation. Of 75 survivors with completed follow up, 96% were in New York Heart Association functional class I or II and 64% were in sinus rhythm. Of 55 survivors who had an echocardiogram at follow up, normal left ventricular end diastolic dimension was shown in 76% and normal left ventricular shortening fraction in 89%. Doppler studies showed no mitral regurgitation in 36%, trivial or mild in 42%, moderate in 14%, and severe in 7% of patients. In stepwise logistic analysis previous myocardial infarction was associated with poor outcome (odds ratio: 13.7, p < 0.05). CONCLUSION: The results are comparable with similar studies and support the value of mitral valve repair. There is reservation about the use of repair for patients with previous myocardial infarction.
Authors: P Mikaeloff; O Jegaden; M Ferrini; J Coll-Mazzei; J Y Bonnefoy; A Rumolo Journal: J Cardiovasc Surg (Torino) Date: 1989 Nov-Dec Impact factor: 1.888
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: W J Stewart; P J Currie; E E Salcedo; B W Lytle; C C Gill; W A Schiavone; D A Agler; D M Cosgrove Journal: Circulation Date: 1990-02 Impact factor: 29.690
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