PMID- 19414490
OWN - NLM
STAT- MEDLINE
DCOM- 20091008
LR  - 20161125
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 9
IP  - 2
DP  - 2009 Aug
TI  - Echocardiographic assessment of mitral valve morphology and performance after 
      triangular resection of the prolapsing posterior leaflet for degenerative 
      myxomatous disease.
PG  - 287-90
LID - 10.1510/icvts.2009.204776 [doi]
AB  - The gold standard for the surgical treatment of prolapse of the posterior leaflet 
      of the mitral valve (MV) for degenerative myxomatous disease has been represented 
      by the quadrangular resection of the leaflet, according to the Carpentier 
      technique. Since 2006 we performed a triangular resection of the prolapsing 
      leaflet in 20 patients with myxomatous mitral regurgitation (MR). Seventeen 
      patients (85%) underwent the triangular resection of P2; one patient (5%) had a 
      triple scallops triangular resection (P1, P2, P3) and two (10%) a double scallops 
      (P2, P3) resection. In this study, we report the immediate and mid-term clinical 
      and echocardiographic results of a cohort of 20 patients, who underwent this 
      technique. Thirty-day mortality was 0. Acute renal failure occurred in three 
      patients (15%) and they resolved with conservative management. One patient (5%) 
      required re-exploration for bleeding. At the mean follow-up of 13.1+/-4.2 months 
      survival was 95%; one patient died of lymphoma during the follow-up time. All the 
      cases were in New York Heart Association (NYHA) class I. Nineteen survivors 
      underwent transthoracic echocardiography (TTE) (5), or transesophageal 
      echocardiography (TEE) (13), performed by two skilled cardiologists. All patients 
      showed no or trivial MV regurgitation. We believe that triangular resection of 
      posterior MV leaflet (PMVL) provides excellent mid-term results providing the 
      surgeon with a reliable and reproducible surgical option for myxomatous 
      degenerative MV regurgitation.
FAU - Chiappini, Bruno
AU  - Chiappini B
AD  - Department of Cardiac Surgery, Giuseppe Mazzini Hospital, Piazzale San Padre Pio, 
      64100 Teramo, Italy.
FAU - Gregorini, Renato
AU  - Gregorini R
FAU - De Remigis, Franco
AU  - De Remigis F
FAU - Petrella, Licia
AU  - Petrella L
FAU - Villani, Carmine
AU  - Villani C
FAU - Di Pietrantonio, Fabrizio
AU  - Di Pietrantonio F
FAU - Pavicevic, Srdan
AU  - Pavicevic S
FAU - Mazzola, Alessandro
AU  - Mazzola A
LA  - eng
PT  - Journal Article
DEP - 20090504
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
CIN - Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):290. PMID: 19628542
MH  - Acute Kidney Injury/etiology
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cardiac Surgical Procedures/adverse effects/mortality
MH  - *Echocardiography, Transesophageal
MH  - Female
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/diagnostic imaging/*surgery
MH  - Mitral Valve Insufficiency/diagnostic imaging/mortality/*surgery
MH  - Mitral Valve Prolapse/diagnostic imaging/mortality/*surgery
MH  - Postoperative Hemorrhage/etiology/surgery
MH  - Predictive Value of Tests
MH  - Reoperation
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2009/05/06 09:00
MHDA- 2009/10/09 06:00
CRDT- 2009/05/06 09:00
PHST- 2009/05/06 09:00 [entrez]
PHST- 2009/05/06 09:00 [pubmed]
PHST- 2009/10/09 06:00 [medline]
AID - icvts.2009.204776 [pii]
AID - 10.1510/icvts.2009.204776 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):287-90. doi: 
      10.1510/icvts.2009.204776. Epub 2009 May 4.