HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Shore, D. F. Articles by Buckley, M. J. Search for Related Content PubMed PubMed Citation Articles by Shore, D. F. Articles by Buckley, M. J.

The Journal of Thoracic and Cardiovascular Surgery, Vol 79, 349-357, Copyright © 1980 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Results of mitral valvuloplasty with a suture plication technique

DF Shore, P Wong, M Paneth and MJ Buckley

Between January, 1975, and October, 1978, a total of 243 patients underwent repair of the mitral valve with a suture plication technique. Mitral valve replacement (MVR) was performed in 36 cases in which significant residual regurgitation was apparent on testing the valve after repair. The hospital mortality rate was 5.7%. Five patients required MVR within 1 month of operation. A total of 190 patients were discharged from hospital with what was considered to be a satisfactorily functioning mitral valve. Excluding patients from overseas, detailed follow-up information is available in 80 cases. Of these 80 patients, 13 have subsequently undergone MVR. Factors favorably affecting survival and durability of repair are degenerative valve disease and age below 55 years. Clinical and echocardiographic assessment indicate that this method of repair initially produces good symptomatic improvement and a normal or nearly normal pattern of left ventricular filling. The good early results are only maintained in patients with degenerative valve disease. We therefore no longer use or recommend this technique for elderly patients with rheumatic valve disease.

This article has been cited by other articles:

				L. Menicanti, M. Di Donato, A. Frigiola, G. Buckberg, C. Santambrogio, M. Ranucci, and D. Santo Ischemic mitral regurgitation: Intraventricular papillary muscle imbrication without mitral ring during left ventricular restoration J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1041 - 1050. [Abstract] [Full Text] [PDF]

				R. Hetzer, N. Nagdyman, P. Ewert, Y. G. Weng, V. Alexi-Meskhisvili, F. Berger, M. Pasic, and P. E. Lange A modified repair technique for tricuspid incompetence in Ebstein's anomaly J. Thorac. Cardiovasc. Surg., April 1, 1998; 115(4): 857 - 868. [Abstract] [Full Text] [PDF]

				J. M. Alvarez, C. W. Deal, K. Loveridge, P. Brennan, R. Eisenberg, M. Ward, K. Bhattacharya, S. J. Atkinson, and C. Choong REPAIRING THE DEGENERATIVE MITRAL VALVE: TEN- TO FIFTEEN-YEAR FOLLOW-UP J. Thorac. Cardiovasc. Surg., August 1, 1996; 112(2): 238 - 247. [Abstract] [Full Text]

				A. F. Carpentier, A. Lessana, J. Y. M. Relland, E. Belli, S. Mihaileanu, A. J. Berrebi, E. Palsky, and D. F. Loulmet The "Physio-Ring": an advanced concept in mitral valve annuloplasty Ann. Thorac. Surg., November 1, 1995; 60(5): 1177 - 1186. [Abstract] [PDF]

				C. Zussa, R. W. M. Frater, E. Polesel, M. Galloni, and C. Valfre Artificial mitral valve chorde: Experimental and clinical experience Ann. Thorac. Surg., September 1, 1990; 50(3): 367 - 373. [Abstract] [PDF]

				J. P. Murphy Jr., M. S. Sweeney, and D. A. Cooley The Puig-Massana-Shiley Annuloplasty Ring for Mitral Valve Repair: Experience in 126 Patients Ann. Thorac. Surg., January 1, 1987; 43(1): 52 - 58. [Abstract] [PDF]

				D. L. Nunley and A. Starr The Evolution of Reparative Techniques for the Mitral Valve Ann. Thorac. Surg., May 1, 1984; 37(5): 393 - 397. [Abstract] [PDF]

				D. Metras, A. O. Coulibaly, and K. Ouattara Mitral Annuloplasty in Endomyocardial Fibrosis Ann. Thorac. Surg., April 1, 1984; 37(4): 356 - 357. [PDF]