PMID- 10758376
OWN - NLM
STAT- MEDLINE
DCOM- 20000606
LR  - 20190513
IS  - 1010-7940 (Print)
IS  - 1010-7940 (Linking)
VI  - 17
IP  - 3
DP  - 2000 Mar
TI  - The double-orifice technique as a standardized approach to treat mitral 
      regurgitation due to severe myxomatous disease: surgical technique.
PG  - 201-5
AB  - OBJECTIVES: Mitral-valve repair in Barlow's disease is challenging; conventional 
      techniques are difficult to perform, and there is a high risk of a postoperative 
      suboptimal result. Double-orifice repair has been applied in a standardized 
      approach to treat patients with severe mitral regurgitation and bileaflet 
      prolapse due to Barlow's disease. METHODS: Since 1993, 82 patients with severe 
      mitral regurgitation due to Barlow's disease underwent correction applying the 
      edge-to-edge concept. They were submitted to double-orifice repair in a 
      standardized fashion, suturing the middle portions of both leaflets. RESULTS: 
      There were no hospital deaths. The repair was unsatisfactory in one patient who 
      underwent valve replacement soon after the repair. The mean postoperative valve 
      area was 3.7+/-0.79 cm(2) against a mean preoperative value of 9.2+/-2.1 cm(2). 
      No or mild regurgitation was found in all but three patients who showed moderate 
      residual regurgitation. There were no late deaths. Freedom from reoperation was 
      86+/-14% at 5 years. At the latest follow-up, all patient but one were New York 
      Heart Association (NYHA) functional class I, and echo-Doppler assessment of valve 
      reconstruction showed stable valve function in all patients. CONCLUSIONS: The 
      double-orifice repair can be used as a standardized approach to treat valve 
      regurgitation due to Barlow disease with low risk and good early and mid-term 
      results.
FAU - Maisano, F
AU  - Maisano F
AD  - Cardiac Surgery Department, IRRCS Ospedale San Raffaele, Via Olgettina 60, 20132, 
      Milan, Italy. francesco.maisano@hsr.it
FAU - Schreuder, J J
AU  - Schreuder JJ
FAU - Oppizzi, M
AU  - Oppizzi M
FAU - Fiorani, B
AU  - Fiorani B
FAU - Fino, C
AU  - Fino C
FAU - Alfieri, O
AU  - Alfieri O
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Eur J Cardiothorac Surg
JT  - European journal of cardio-thoracic surgery : official journal of the European 
      Association for Cardio-thoracic Surgery
JID - 8804069
SB  - IM
MH  - Adult
MH  - *Cardiac Surgical Procedures
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/etiology/*surgery
MH  - Mitral Valve Prolapse/*complications
MH  - *Suture Techniques
EDAT- 2000/04/12 09:00
MHDA- 2000/06/10 09:00
CRDT- 2000/04/12 09:00
PHST- 2000/04/12 09:00 [pubmed]
PHST- 2000/06/10 09:00 [medline]
PHST- 2000/04/12 09:00 [entrez]
AID - S1010-7940(00)00351-1 [pii]
AID - 10.1016/s1010-7940(00)00351-1 [doi]
PST - ppublish
SO  - Eur J Cardiothorac Surg. 2000 Mar;17(3):201-5. doi: 
      10.1016/s1010-7940(00)00351-1.