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The Journal of Thoracic and Cardiovascular Surgery, Vol 116, 734-743, Copyright © 1998 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
NOTE: Fulltext is available only in pdf format
AM Gillinov, DM Cosgrove, EH Blackstone, R Diaz, JH Arnold, BW Lytle, NG Smedira, JF Sabik, PM McCarthy and FD Loop
BACKGROUND: Degenerative mitral valve disease is the most common cause of
mitral regurgitation in the United States. Mitral valve repair is
applicable in the majority of these patients and has become the procedure
of choice. OBJECTIVE: This study was undertaken to identify factors
influencing the durability of mitral valve repair. PATIENTS AND METHODS:
Between 1985 and 1997, 1072 patients underwent primary isolated mitral
valve repair for valvular regurgitation caused by degenerative disease.
Repair durability was assessed by multivariable risk factor analysis of
reoperation. It was supplemented by a search for valve-related risk factors
for death before reoperation. Three hospital deaths occurred (0.3%);
complete follow-up (4152 patient- years) was available in 1062 of 1069
hospital survivors (99.3%). RESULTS: At 10 years, freedom from reoperation
was 93%. Among 30 patients who required reoperation for late mitral valve
dysfunction, the repair failed in 16 (53%) as a result of progressive
degenerative disease. Durability of repair was adversely affected by
pathologic conditions other than posterior leaflet prolapse, use of chordal
shortening, annuloplasty alone, and posterior leaflet resection without
annuloplasty. Durability was greatest after quadrangular resection and
annuloplasty for posterior leaflet prolapse and was enhanced by the use of
intraoperative echocardiography. Death before reoperation was increased in
patients having isolated anterior leaflet prolapse or valvular
calcification and by use of chordal shortening or annuloplasty alone.
CONCLUSIONS: Repair durability is greatest in patients with isolated
posterior leaflet prolapse who have posterior leaflet resection and
annuloplasty. Chordal shortening, annuloplasty alone, and leaflet resection
without annuloplasty jeopardize late results.
ARTICLES
Durability of mitral valve repair for degenerative disease
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA.
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American College of Cardiology Foundation (ACCF) a, T. A. Vassiliades Jr, P. C. Block, L. H. Cohn, D. H. Adams, J. S. Borer, T. Feldman, D. R. Holmes, W. K. Laskey, B. W. Lytle, et al. The clinical development of percutaneous heart valve technology: A position statement of the Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), and the Society for Cardiovascular Angiography and Interventions (SCAI) J. Thorac. Cardiovasc. Surg., May 1, 2005; 129(5): 970 - 976. [Full Text] [PDF]
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T. A. Vassiliades Jr, P. C. Block, L. H. Cohn, D. H. Adams, J. S. Borer, T. Feldman, D. R. Holmes, W. K. Laskey, B. W. Lytle, M. J. Mack, et al. The Clinical Development of Percutaneous Heart Valve Technology: A Position Statement of The Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), and the Society for Cardiovascular Angiography and Interventions (SCAI) Ann. Thorac. Surg., May 1, 2005; 79(5): 1812 - 1818. [Full Text] [PDF]
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 M. Enriquez-Sarano, J.-F. Avierinos, D. Messika-Zeitoun, D. Detaint, M. Capps, V. Nkomo, C. Scott, H. V. Schaff, and A. J. Tajik Quantitative Determinants of the Outcome of Asymptomatic Mitral Regurgitation N. Engl. J. Med., March 3, 2005; 352(9): 875 - 883. [Abstract] [Full Text] [PDF]
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A. M. Gillinov Chordal transfer for repair of anterior leaflet prolapse MMCTS, January 18, 2005; 2005(0118): 901. [Abstract] [Full Text] [PDF]
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F. Maisano, A. Blasio, A. Caldarola, C. Savini, and O. Alfieri A Method to Avoid Annular Downsizing During Knot Tying Ann. Thorac. Surg., October 1, 2004; 78(4): 1484 - 1485. [Abstract] [Full Text] [PDF]
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V. DiGregorio, K. J. Zehr, T. A. Orszulak, C. J. Mullany, R. C. Daly, J. A. Dearani, and H. V. Schaff Results of mitral surgery in octogenarians with isolated nonrheumatic mitral regurgitation Ann. Thorac. Surg., September 1, 2004; 78(3): 807 - 813. [Abstract] [Full Text] [PDF]
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S. K. Bhudia, P. M. McCarthy, N. G. Smedira, B.-K. Lam, J. Rajeswaran, and E. H. Blackstone Edge-to-edge (Alfieri) mitral repair: results in diverse clinical settings Ann. Thorac. Surg., May 1, 2004; 77(5): 1598 - 1606. [Abstract] [Full Text] [PDF]
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M. H. Yacoub and L. H. Cohn Novel Approaches to Cardiac Valve Repair: From Structure to Function: Part II Circulation, March 9, 2004; 109(9): 1064 - 1072. [Full Text] [PDF]
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R. Sharony, P. C. Saunders, A. Nayar, E. McAleer, A. C. Galloway, J. Delianides, C. F. Schwartz, R. M. Applebaum, I. Kronzon, S. B. Colvin, et al. Semirigid partial annuloplasty band allows dynamic mitral annular motion and minimizes valvular gradients: an echocardiographic study Ann. Thorac. Surg., February 1, 2004; 77(2): 518 - 522. [Abstract] [Full Text] [PDF]
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J. H. Gorman III and R. C. Gorman Invited commentary Ann. Thorac. Surg., February 1, 2004; 77(2): 522 - 522. [Full Text] [PDF]
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J. H. Gorman III, B. M. Jackson, Y. Enomoto, and R. C. Gorman The effect of regional ischemia on mitral valve annular saddle shape Ann. Thorac. Surg., February 1, 2004; 77(2): 544 - 548. [Abstract] [Full Text] [PDF]
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J. J. Nigro, D. S. Schwartz, R. D. Bart, C. W. Bart, B. M. Lopez, M. J. Cunningham, M. L. Barr, R. M. Bremner, S. M. Haddy, W. J. Wells, et al. Neochordal repair of the posterior mitral leaflet J. Thorac. Cardiovasc. Surg., February 1, 2004; 127(2): 440 - 447. [Abstract] [Full Text] [PDF]
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F. Maisano, A. Caldarola, A. Blasio, M. De Bonis, G. La Canna, and O. Alfieri Midterm results of edge-to-edge mitral valve repair without annuloplasty J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 1987 - 1997. [Abstract] [Full Text] [PDF]
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O. Bech-Hanssen, T. Ryden, H. Schersten, A. Oden, F. Nilsson, and A. Jeppsson Mortality after mitral regurgitation surgery: importance of clinical and echocardiographic variables Eur. J. Cardiothorac. Surg., November 1, 2003; 24(5): 723 - 730. [Abstract] [Full Text] [PDF]
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B.-K. Lam, A. M. Gillinov, and D. M. Cosgrove III Failed mitral valve repair caused by polypropylene suture Ann. Thorac. Surg., November 1, 2003; 76(5): 1716 - 1717. [Abstract] [Full Text] [PDF]
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F. P. Casselman, S. Van Slycke, F. Wellens, R. De Geest, I. Degrieck, F. Van Praet, Y. Vermeulen, and H. Vanermen Mitral Valve Surgery Can Now Routinely Be Performed Endoscopically Circulation, September 9, 2003; 108(90101): II-48 - 54. [Abstract] [Full Text] [PDF]
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 G. Gatti and P. Pugliese Preliminary experience in mitral valve repair using the Cosgrove-Edwards annuloplasty ring Interactive CardioVascular and Thoracic Surgery, September 1, 2003; 2(3): 256 - 261. [Abstract] [Full Text] [PDF]
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J. Raman, P. Shah, S. Seevanayagam, J. Cheung, and B. Buxton Mitral Regurgitation: Comparison Between Edge-to-Edge Repair and Valve Replacement Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 131 - 134. [Abstract] [Full Text] [PDF]
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D. H. Adams and F. Filsoufi Another chapter in an enlarging book: Repair degenerative mitral valves J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1197 - 1199. [Full Text] [PDF]
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A. M. Gillinov, C. Faber, P. L. Houghtaling, E. H. Blackstone, B.-K. Lam, R. Diaz, B. W. Lytle, J. F. Sabik III, and D. M. Cosgrove III Repair versus replacement for degenerative mitral valve disease with coexisting ischemic heart disease J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1350 - 1362. [Abstract] [Full Text] [PDF]
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A. M. Gillinov, E. H. Blackstone, D. M. Cosgrove III, J. White, P. Kerr, A. Marullo, P. M. McCarthy, and B. W. Lytle Mitral valve repair with aortic valve replacement is superior to double valve replacement J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1372 - 1387. [Abstract] [Full Text] [PDF]
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T. E. David, J. Ivanov, S. Armstrong, and H. Rakowski Late outcomes of mitral valve repair for floppy valves: Implications for asymptomatic patients J. Thorac. Cardiovasc. Surg., May 1, 2003; 125(5): 1143 - 1152. [Abstract] [Full Text] [PDF]
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S. Bevilacqua, A. G. Cerillo, J. Gianetti, U. Paradossi, M. Mariani, S. Matteucci, E. Kallushi, and M. Glauber Mitral valve repair for degenerative disease: is pericardial posterior annuloplasty a durable option? Eur. J. Cardiothorac. Surg., April 1, 2003; 23(4): 552 - 559. [Abstract] [Full Text] [PDF]
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W. Flameng, P. Herijgers, and K. Bogaerts Recurrence of Mitral Valve Regurgitation After Mitral Valve Repair in Degenerative Valve Disease Circulation, April 1, 2003; 107(12): 1609 - 1613. [Abstract] [Full Text] [PDF]
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F. P. Casselman, S. V. Slycke, H. Dom, D. L. Lambrechts, Y. Vermeulen, and H. Vanermen Endoscopic mitral valve repair: Feasible, reproducible, and durable J. Thorac. Cardiovasc. Surg., February 1, 2003; 125(2): 273 - 282. [Abstract] [Full Text] [PDF]
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C. W. Barlow, Z. A. Ali, E. Lim, J. B. Barlow, and F. C. Wells Modified technique for mitral repair without ring annuloplasty Ann. Thorac. Surg., January 1, 2003; 75(1): 298 - 300. [Abstract] [Full Text] [PDF]
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A. M. Gillinov and D. M. Cosgrove III Mitral Valve Repair Card. Surg. Adult, January 1, 2003; 2(2003): 933 - 950. [Full Text]
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J. S. Raman, R. Gupta, P. Shah, R. Setty, and K. Tambara Double-breasted repair of the posterior mitral valve leaflet Ann. Thorac. Surg., December 1, 2002; 74(6): 2206 - 2207. [Abstract] [Full Text] [PDF]
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E. Lim, Z. A. Ali, C. W. Barlow, A. R. Hosseinpour, C. Wisbey, S. C. Charman, F. C. Wells, and J. B. Barlow Determinants and assessment of regurgitation after mitral valve repair J. Thorac. Cardiovasc. Surg., November 1, 2002; 124(5): 911 - 917. [Abstract] [Full Text] [PDF]
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I. S. Salgo, J. H. Gorman III, R. C. Gorman, B. M. Jackson, F. W. Bowen, T. Plappert, M. G. St John Sutton, and L. H. Edmunds Jr Effect of Annular Shape on Leaflet Curvature in Reducing Mitral Leaflet Stress Circulation, August 6, 2002; 106(6): 711 - 717. [Abstract] [Full Text] [PDF]
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A. M. Gillinov, C. N. Faber, J. F. Sabik, G. Pettersson, B. P. Griffin, S. M. Gordon, E. Hayek, L. M. Di Paola, D. M. Cosgrove III, and E. H. Blackstone Endocarditis after mitral valve repair Ann. Thorac. Surg., June 1, 2002; 73(6): 1813 - 1816. [Abstract] [Full Text] [PDF]
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M. F. Ibrahim and T. E. David Mitral stenosis after mitral valve repair for non-rheumatic mitral regurgitation Ann. Thorac. Surg., January 1, 2002; 73(1): 34 - 36. [Abstract] [Full Text] [PDF]
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M. Enriquez-Sarano Timing of mitral valve surgery Heart, January 1, 2002; 87(1): 79 - 85. [Full Text] [PDF]
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A. M. Gillinov and D. M. Cosgrove III Modified quadrangular resection for mitral valve repair Ann. Thorac. Surg., December 1, 2001; 72(6): 2153 - 2154. [Abstract] [Full Text] [PDF]
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J. E. Barber, F. K. Kasper, N. B. Ratliff, D. M. Cosgrove, B. P. Griffin, and I. Vesely Mechanical properties of myxomatous mitral valves J. Thorac. Cardiovasc. Surg., November 1, 2001; 122(5): 955 - 962. [Abstract] [Full Text] [PDF]
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