JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Morgan L. Brown
Hartzell V. Schaff
Rakesh M. Suri
Richard C. Daly
Thomas A. Orszulak
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Brown, M. L.
Right arrow Articles by Orszulak, T. A.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Brown, M. L.
Right arrow Articles by Orszulak, T. A.
Related Collections
Right arrow Valve disease

J Thorac Cardiovasc Surg 2009;138:886-891
© 2009 The American Association for Thoracic Surgery


Acquired Cardiovascular Disease

Results of mitral valve annuloplasty with a standard-sized posterior band: Is measuring important?

Morgan L. Brown, MDa, Hartzell V. Schaff, MDa,*, Zhuo Li, MSb, Rakesh M. Suri, MDa, Richard C. Daly, MDa, Thomas A. Orszulak, MDa

a Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
b Division of Biostatistics, Mayo Clinic, Rochester, Minn

Received for publication September 26, 2008; revisions received December 11, 2008; accepted for publication January 4, 2009.

* Address for reprints: Hartzell V. Schaff, MD, 200 1st St SW, Rochester, MN 55905. (Email: schaff{at}mayo.edu).

Objective: This study was undertaken to determine hemodynamic and clinical outcomes of annuloplasty with a standard-sized (63 mm) posterior band in adult patients undergoing mitral valve repair for degenerative valve disease.

Methods: We studied 511 patients who underwent isolated mitral valve repair for degenerative disease with a 63-mm posterior band used for annuloplasty. Operations were performed between 1994 and 2001, and average follow-up was 4.8 ± 3.1 years. Echocardiographic data were reviewed, with specific focus on the relationship between patient size and residual mitral regurgitation and gradient.

Results: Mean age at the time of operation was 59.3 ± 13.5 years, and 72% were male. Body mass index was 25.8 ± 4.1 kg/m2, and body surface area was 1.97 ± 0.24 m2. Preoperative mean ejection fraction was 64% ± 7%, and 96% of patients had severe mitral regurgitation on preoperative echocardiography. The 30-day mortality was 0.8%. At hospital discharge, the mean gradient was 4.7 ± 3.1 mm Hg. Body surface area, body mass index, and weight were not associated with postoperative gradients or residual regurgitation at discharge. At last follow-up, 89% of patients had no or mild regurgitation, and the mean ejection fraction was 58% ± 9%. At 5 years, survival was 95% and cumulative risk of reoperation was 3%.

Conclusion: A standard-sized (unmeasured) posterior annuloplasty band provided excellent intermediate results with good durability. There were neither excess gradients in larger patients nor excess regurgitation in smaller patients. Measured annuloplasty is unnecessary for most adults undergoing mitral valve repair.



Abbreviations and Acronyms BMI = body mass index; BSA = body surface area; EF = ejection fraction; HR = hazard ratio; MR = mitral regurgitation; MV = mitral valve; SAM = systolic anterior motion





This article has been cited by other articles:


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. M. Suri, H. M. Burkhart, R. C. Daly, J. A. Dearani, S. J. Park, T. M. Sundt III, Z. Li, M. Enriquez-Sarano, and H. V. Schaff
Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous interventions should be judged
J. Thorac. Cardiovasc. Surg., November 1, 2011; 142(5): 970 - 979.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
L. Garrido-Olivares, T. E. David, M. Maganti, D. Wijeysundera, and V. Rao
Effect of preoperative non-dialysis-dependent renal dysfunction on isolated aortic and mitral valve surgery: A propensity score analysis
J. Thorac. Cardiovasc. Surg., July 1, 2011; 142(1): 155 - 161.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
S. M. Said, H. V. Schaff, R. M. Suri, K. L. Greason, J. A. Dearani, and R. A. Nishimura
Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair
Ann. Thorac. Surg., May 1, 2011; 91(5): 1427 - 1432.
[Abstract] [Full Text] [PDF]


Home page
Circ Cardiovasc ImagingHome page
S. Chandra, I. S. Salgo, L. Sugeng, L. Weinert, W. Tsang, M. Takeuchi, K. T. Spencer, A. O'Connor, M. Cardinale, S. Settlemier, et al.
Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images: Objective Insight Into Complexity and Planning of Mitral Valve Repair
Circ Cardiovasc Imaging, January 1, 2011; 4(1): 24 - 32.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
D. H. Adams, R. Rosenhek, and V. Falk
Degenerative mitral valve regurgitation: best practice revolution
Eur. Heart J., August 2, 2010; 31(16): 1958 - 1966.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The American Association for Thoracic Surgery.