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The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 990-1001, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
A Deloche, VA Jebara, JY Relland, S Chauvaud, JN Fabiani, P Perier, G Dreyfus, S Mihaileanu and A Carpentier
Among 206 consecutive patients having undergone mitral valve repair with a
prosthetic ring between 1972 and 1979 in our institution, the 195 patients
(94.5%) who survived the operation were studied to assess the long-term
function of this method of repair. Patients' ages ranged from 18 to 79
years (mean age 48.7 years). Mitral valve insufficiency was due to
degenerative disease in 113 patients (58%), rheumatic disease in 74 (38%),
ischemia and other causes in eight patients (4%). A total of 188 patients
(9.7%) were in New York Heart Association class III or IV preoperatively
and 94 (48%) had atrial fibrillation. The patients were divided into three
functional groups: type I (normal leaflet motion), 35 patients (18%); type
II (leaflet prolapse), 147 patients (75%); and type III (restricted leaflet
motion), 13 patients (7%). The techniques included prosthetic ring
annuloplasty (185 patients), leaflet resection (158 patients), chordal
shortening (89 patients), leaflet mobilization (10 patients) and papillary
muscle reimplantation (2 patients). Long-term follow-up was available in
189 patients (96.8%), for a rate of 2316 patients per year. The 15-year
actuarial and valve-related survival rates were 72.4% and 82.8%,
respectively. At 15 years, 93.9% of the patients were free from
thromboembolism, 96.6% free from endocarditis, 95.6% free from
anticoagulant-related hemorrhage, and 87.38% free from reoperation.
Actuarial rate of freedom from reoperation was higher in the group with
degenerative disease (92.7%) than in the group with rheumatic disease
(76.12%). Among the 157 survivors, 117 (74%) were in New York Heart
Association class I and class II and 105 (66%) were in sinus rhythm.
Doppler echocardiographic studies showed normal ventricular contractility
in 134 patients (84.5%), absence of mitral regurgitation in 112 (74%),
trivial regurgitation in 27 (17%), and significant regurgitation in 4
patients (2.5%).
ARTICLES
Valve repair with Carpentier techniques. The second decade
Department of Cardiovascular Surgery, Hospital Broussais, Paris, France.
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P. Totaro, E. Tulumello, P. Fellini, M. Rambaldini, G. La Canna, G. Coletti, M. Zogno, and R. Lorusso Mitral valve repair for isolated prolapse of the anterior leaflet: an 11-year follow-up Eur J Cardiothorac Surg, February 1, 1999; 15(2): 119 - 126. [Abstract] [Full Text] [PDF]
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C. M. Tribouilloy, M. Enriquez-Sarano, H. V. Schaff, T. A. Orszulak, K. R. Bailey, A. J. Tajik, and R. L. Frye Impact of Preoperative Symptoms on Survival After Surgical Correction of Organic Mitral Regurgitation : Rationale for Optimizing Surgical Indications Circulation, January 26, 1999; 99(3): 400 - 405. [Abstract] [Full Text] [PDF]
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G. Tavilla and D. Pacini Damage to the circumflex coronary artery during mitral valve repair with sliding leaflet technique Ann. Thorac. Surg., December 1, 1998; 66(6): 2091 - 2093. [Abstract] [Full Text] [PDF]
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B. Eisenmann, A. Charpentier, S. Popescu, E. Epailly, P. Billaud, and A. Jirari Is a prosthetic ring required for mitral repair of mitral insufficiency due to posterior leaflet prolapse? Long-term results in 96 patients submitted to repair with no ring Eur J Cardiothorac Surg, December 1, 1998; 14(6): 584 - 589. [Abstract] [Full Text] [PDF]
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E. A. Zias, C. Mavroudis, C. L. Backer, L. M. Kohr, N. L. Gotteiner, and A. P. Rocchini Surgical repair of the congenitally malformed mitral valve in infants and children Ann. Thorac. Surg., November 1, 1998; 66(5): 1551 - 1559. [Abstract] [Full Text] [PDF]
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L. F. Camilleri, B. Miguel, P. Bailly, B. J. Legault, M.-C. D'Agrosa-Boiteux, G. L. Polvani, and C. M. de Riberolles Flexible posterior mitral annuloplasty: five-year clinical and Doppler echocardiographic results Ann. Thorac. Surg., November 1, 1998; 66(5): 1692 - 1697. [Abstract] [Full Text] [PDF]
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N. V. Phan, P. K. Phuong, P. N. Vinh, D. T. B. Yen, D. H. Trung, C. T. Hiep, N. T. Quy, N. T. Hao, A. Deloche, and A. Carpentier Mitral Valvuloplasty With Carpentier's Techniques Asian Cardiovasc Thorac Ann, September 1, 1998; 6(3): 158 - 161. [Abstract] [Full Text] [PDF]
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J.-F. G. Fuzellier, S. M. Chauvaud, P. Fornes, A. J. Berrebi, P. S. Lajos, P. Bruneval, and A. F. Carpentier Surgical management of mitral regurgitation associated with marfan's syndrome Ann. Thorac. Surg., July 1, 1998; 66(1): 68 - 72. [Abstract] [Full Text] [PDF]
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T. E. David, A. Omran, S. Armstrong, Z. Sun, and J. Ivanov Long-term results of mitral valve repair for myxomatous disease with and without chordal replacement with expanded polytetrafluoroethylene sutures J. Thorac. Cardiovasc. Surg., June 1, 1998; 115(6): 1279 - 1283. [Abstract] [Full Text] [PDF]
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P. R. Vogt, H. P. Brunner-LaRocca, M. Rist, G. Zund, M. Genoni, M. Lachat, U. Niederhauser, and M. I. Turina Preoperative predictors of recurrent atrial fibrillation late after successful mitral valve reconstruction Eur J Cardiothorac Surg, June 1, 1998; 13(6): 619 - 624. [Abstract] [Full Text] [PDF]
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J. M. Bernal, M. Fernandez-Vals, J. M. Rabasa, F. Gutierrez-Garcia, C. Morales, and J. M. Revuelta Repair of nonsevere rheumatic aortic valve disease during other valvular procedures: Is it safe? J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1130 - 1135. [Abstract] [Full Text] [PDF]
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E. M. Lee, L. M. Shapiro, and F. C. Wells Conservative Operation for Infective Endocarditis of the Mitral Valve Ann. Thorac. Surg., April 1, 1998; 65(4): 1087 - 1092. [Abstract] [Full Text] [PDF]
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T. Chotivatanapong, P. Chaiseri, C. Kasemsarn, and V. Sungkahapong Chordal Replacement with Expanded Polytetrafluoroethylene Suture: Early Results Asian Cardiovasc Thorac Ann, March 1, 1998; 6(1): 49 - 51. [Abstract] [Full Text] [PDF]
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T. E. David Aortic Root Aneurysms: Remodeling or Composite Replacement? Ann. Thorac. Surg., November 1, 1997; 64(5): 1564 - 1568. [Abstract] [Full Text]
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P. Perier, J. Stumpf, C. Gotz, F. Lakew, A. Schneider, B. Clausnizer, and R. Hacker Valve Repair for Mitral Regurgitation Caused by Isolated Prolapse of the Posterior Leaflet Ann. Thorac. Surg., August 1, 1997; 64(2): 445 - 450. [Abstract] [Full Text]
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E. M. Lee, L. M. Shapiro, and F. C. Wells Midterm Results of Mitral Valve Repair With the Sculptor Annuloplasty Ring Ann. Thorac. Surg., May 1, 1997; 63(5): 1340 - 1345. [Abstract] [Full Text]
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A. M. Gillinov, D. M. Cosgrove, B. W. Lytle, P. C. Taylor, R. W. Stewart, P. M. McCarthy, N. G. Smedira, D. D. Muehrcke, C. Apperson-Hansen, and F. D. Loop REOPERATION FOR FAILURE OF MITRAL VALVE REPAIR J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 467 - 475. [Abstract] [Full Text]
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M. R. Aupart, P. H. Neville, S. Hammami, A. L. Sirinelli, Y. A. Meurisse, and M. A. Marchand CARPENTIER-EDWARDS PERICARDIAL VALVES IN THE MITRAL POSITION: TEN-YEAR FOLLOW-UP J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 492 - 498. [Abstract] [Full Text]
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M. F. Pompili, J. H. Stevens, T. A. Burdon, L. C. Siegel, W. S. Peters, G. H. Ribakove, and B. A. Reitz PORT-ACCESS MITRAL VALVE REPLACEMENT IN DOGS J. Thorac. Cardiovasc. Surg., November 1, 1996; 112(5): 1268 - 1274. [Abstract] [Full Text]
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E. M. Lee, L. M. Shapiro, and F. C. Wells Importance of Subvalvular Preservation and Early Operation in Mitral Valve Surgery Circulation, November 1, 1996; 94(9): 2117 - 2123. [Abstract] [Full Text]
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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]
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T. M. Sundt III, A. Khaghani, and M. H. Yacoub Alternative Technique for Assessment and Repair of the Mitral Valve Ann. Thorac. Surg., May 1, 1996; 61(5): 1552 - 1554. [Abstract] [Full Text]
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A. F. Carpentier, M. Pellerin, J.-F. Fuzellier, and J. Y. M. Relland EXTENSIVE CALCIFICATION OF THE MITRAL VALVE ANULUS: PATHOLOGY AND SURGICAL MANAGEMENT J. Thorac. Cardiovasc. Surg., April 1, 1996; 111(4): 718 - 730. [Abstract] [Full Text]
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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]
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J. Q. Melo, M. Abecasis, J. Neves, L. Bruges, M. Ferreira, M. J. Rebocho, R. Ribeiras, M. Canada, R. Seabra-Gomes, and M. Machado-Macedo ATRIOVENTRICULAR VALVE REPAIR USING EXTERNALLY ADJUSTABLE FLEXIBLE RINGS J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1333 - 1337. [Abstract] [Full Text]
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M. Enriquez-Sarano, H. V. Schaff, T. A. Orszulak, K. R. Bailey, A. J. Tajik, and R. L. Frye Congestive Heart Failure After Surgical Correction of Mitral Regurgitation : A Long-term Study Circulation, November 1, 1995; 92(9): 2496 - 2503. [Abstract] [Full Text]
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A. S. Kumar, P. N. Rao, and A. Saxena Results of mitral valve reconstruction in children with rheumatic heart disease Ann. Thorac. Surg., October 1, 1995; 60(4): 1044 - 1047. [Abstract] [PDF]
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D. M. Cosgrove III, J. M. Arcidi, L. Rodriguez, W. J. Stewart, K. Powell, and J. D. Thomas Initial experience with the Cosgrove-Edwards annuloplasty system Ann. Thorac. Surg., September 1, 1995; 60(3): 499 - 504. [Abstract] [PDF]
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M. Enriquez-Sarano, H. V. Schaff, T. A. Orszulak, A. J. Tajik, K. R. Bailey, and R. L. Frye Valve Repair Improves the Outcome of Surgery for Mitral Regurgitation : A Multivariate Analysis Circulation, February 15, 1995; 91(4): 1022 - 1028. [Abstract] [Full Text]
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G. L. Kay, A. Aoki, P. Zubiate, C. A. Prejean Jr., J. M. Ruggio, and J. H. Kay Probability of valve repair for pure mitral regurgitation J. Thorac. Cardiovasc. Surg., November 1, 1994; 108(5): 871 - 879. [Abstract] [Full Text]
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