PMID- 12892458
OWN - NLM
STAT- MEDLINE
DCOM- 20030822
LR  - 20191210
IS  - 1344-4964 (Print)
IS  - 1344-4964 (Linking)
VI  - 51
IP  - 7
DP  - 2003 Jul
TI  - Late results of mitral valve repair for mitral regurgitation.
PG  - 282-8
AB  - OBJECTIVE: This study was undertaken to evaluate the long-term results of mitral 
      valve repair for mitral regurgitation. METHODS: Between 1991 and 2000, 301 
      patients with mitral regurgitation underwent mitral valve repair. There were 167 
      men and 134 women whose mean age was 56 +/- 14 years. The patients were comprised 
      of 7 patients in Carpentier's type I, 277 patients in type II, and 17 patients in 
      type III. Chordal replacement with expanded polytetrafluoroethylene sutures had 
      been prospectively applied to repair the anterior mitral leaflet prolapse. Ring 
      annuloplasty was performed in 230 patients (76%). The follow-up was complete and 
      mean follow-up was 67 +/- 33 months, for a cumulative follow-up of 1,624 
      patient-years. RESULTS: There were 5 hospital deaths and 11 late deaths (2 
      cardiac and 9 noncardiac). All survivors except those with stroke were in the New 
      York Heart Association (NYHA) functional class I or II. At 10 years, the 
      actuarial survival was 90 +/- 3%, the freedom from embolism was 86 +/- 4%, the 
      freedom from reoperation was 96 +/- 2%, and the freedom from valve-related events 
      was 77 +/- 4%. At 10 years, the freedom from reoperation in the patients with 
      anterior leaflet prolapse was 90 +/- 5%. CONCLUSIONS: Mitral valve repair is 
      feasible in most patients with mitral regurgitation and is associated with low 
      mortality and low rates of valve related events. Chordal replacement with 
      expanded polytetrafluoroethylene sutures is effective, safe, and durable at 
      long-term follow-up for patients with anterior leaflet prolapse.
FAU - Okada, Yukikatsu
AU  - Okada Y
AD  - Department of Thoracic and Cardiovascular Surgery, Kobe General Hospital, Kobe, 
      Japan.
FAU - Nasu, Michihiro
AU  - Nasu M
FAU - Takahashi, Yutaka
AU  - Takahashi Y
FAU - Handa, Nobuhiro
AU  - Handa N
FAU - Fujiwara, Hiroshi
AU  - Fujiwara H
FAU - Shinkai, Masahiko
AU  - Shinkai M
FAU - Shomura, Yu
AU  - Shomura Y
FAU - Wakiyama, Hidetaka
AU  - Wakiyama H
FAU - Tsuda, Shouichi
AU  - Tsuda S
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PL  - Japan
TA  - Jpn J Thorac Cardiovasc Surg
JT  - The Japanese journal of thoracic and cardiovascular surgery : official 
      publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka 
      Gakkai zasshi
JID - 100884261
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cardiopulmonary Bypass
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality
MH  - Humans
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Insufficiency/mortality/*surgery
MH  - Postoperative Complications/etiology/mortality
MH  - Reoperation
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2003/08/02 05:00
MHDA- 2003/08/23 05:00
CRDT- 2003/08/02 05:00
PHST- 2003/08/02 05:00 [pubmed]
PHST- 2003/08/23 05:00 [medline]
PHST- 2003/08/02 05:00 [entrez]
AID - 10.1007/BF02719379 [doi]
PST - ppublish
SO  - Jpn J Thorac Cardiovasc Surg. 2003 Jul;51(7):282-8. doi: 10.1007/BF02719379.