PMID- 17568282
OWN - NLM
STAT- MEDLINE
DCOM- 20070815
LR  - 20161124
IS  - 1558-2027 (Print)
IS  - 1558-2027 (Linking)
VI  - 8
IP  - 7
DP  - 2007 Jul
TI  - Mitral valve annuloplasty with a semirigid annuloplasty band in ischemic mitral 
      regurgitation: early results.
PG  - 499-503
AB  - OBJECTIVE: A trigone-to-trigone semirigid annuloplasty band (C-G Future Band, 
      Medtronic, Inc., Minneapolis, Minnesota, USA) was introduced in 2001 for mitral 
      valve repair. We report our early clinical and echocardiographic results with 
      this new device to correct ischemic mitral regurgitation. METHODS: Between 
      January 2002 and December 2004, among 216 patients operated on for mitral 
      regurgitation, 107 patients had a C-G Future Band annuloplasty and 85 consecutive 
      patients (72.6% male; mean age 66.9 +/- 8.6 years) received this annuloplasty 
      band to correct ischemic mitral regurgitation. Mean follow-up was 14.3 +/- 9.8 
      months (range 0.2-37 months). Clinical and echocardiographic assessment was 
      accomplished preoperatively, postoperatively, at 6 and 12 months, and at two 
      years. RESULTS: Perioperative mortality was 3.7% (three in-hospital deaths), 
      whereas overall survival at two years was 88.7 +/- 4.2%. Immediately after 
      repair, echocardiographic mitral regurgitation was dramatically reduced (2.5 +/- 
      0.6 vs. 0.9 +/- 0.6; P < 0.0001); ejection fraction increased from 43.8 +/- 11% 
      preoperatively to 44.8 +/- 12% postoperatively (P = 0.007). At the time of 
      follow-up, New York Heart Association (NYHA) functional class was significantly 
      improved (mean preoperative NYHA class 2.04 +/- 0.9 vs. mean postoperative NYHA 
      class 1.25 +/- 0.6; P < 0.0001). No patient experienced thromboembolic events and 
      no late mitral valve reoperation occurred. CONCLUSIONS: Early and mid-term mitral 
      valve function is satisfactory with trigone-to-trigone semirigid band 
      annuloplasty, with excellent repair durability immediately after the operation 
      and at two years. Moreover, after annuloplasty repair, an improvement in clinical 
      functional status is obtained. A wider use of this semirigid annuloplasty band 
      can be recommended.
FAU - Formica, Francesco
AU  - Formica F
AD  - Cardiac Surgery Clinic, Department of Surgical Science, University of 
      Milan-Bicocca, San Gerardo Hospital, Monza (MI), Italy. 
      francesco_formica@fastwebnet.it
FAU - Corti, Fabrizio
AU  - Corti F
FAU - Sangalli, Fabio
AU  - Sangalli F
FAU - Greco, Pierpaolo
AU  - Greco P
FAU - Ferro, Orazio
AU  - Ferro O
FAU - Colagrande, Luisa
AU  - Colagrande L
FAU - Paolini, Giovanni
AU  - Paolini G
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Cardiovasc Med (Hagerstown)
JT  - Journal of cardiovascular medicine (Hagerstown, Md.)
JID - 101259752
SB  - IM
MH  - Aged
MH  - Echocardiography, Transesophageal
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Atria/diagnostic imaging
MH  - *Heart Valve Prosthesis
MH  - *Heart Valve Prosthesis Implantation
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Mitral Valve Insufficiency/*surgery
MH  - Prosthesis Design
MH  - Reoperation
MH  - Stroke Volume
MH  - Treatment Outcome
EDAT- 2007/06/15 09:00
MHDA- 2007/08/19 09:00
CRDT- 2007/06/15 09:00
PHST- 2007/06/15 09:00 [pubmed]
PHST- 2007/08/19 09:00 [medline]
PHST- 2007/06/15 09:00 [entrez]
AID - 01244665-200707000-00005 [pii]
AID - 10.2459/01.JCM.0000278443.58870.26 [doi]
PST - ppublish
SO  - J Cardiovasc Med (Hagerstown). 2007 Jul;8(7):499-503. doi: 
      10.2459/01.JCM.0000278443.58870.26.