PMID- 3800481
OWN - NLM
STAT- MEDLINE
DCOM- 19870211
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 43
IP  - 1
DP  - 1987 Jan
TI  - The Puig-Massana-Shiley annuloplasty ring for mitral valve repair: experience in 
      126 patients.
PG  - 52-8
AB  - Between October, 1982, and December, 1984, 126 patients at the Texas Heart 
      Institute underwent mitral valve repair for mitral insufficiency utilizing the 
      Puig-Massana-Shiley annuloplasty ring. Resection of a triangular-shaped wedge of 
      the mural leaflet and direct suture repair was done in 42 patients, and anterior 
      leaflet repair was used in 2 patients. There were 79 male (63%) and 47 female 
      (37%) patients with a mean age of 58 years. Preoperatively, 95% were in New York 
      Heart Association (NYHA) Functional Class III or IV. Concomitant cardiac 
      operations were performed in 82 patients and included coronary artery bypass 
      grafting (49%), aortic valve replacement (16%), repair of ventricular septal 
      defect (2%), resection of left ventricular aneurysm (2%), and repair of atrial 
      septal defect (1%). There were 8 early deaths (6.3%) and 11 late deaths (8.7%). 
      In 44 patients undergoing mitral valve repair as an isolated primary procedure, 
      operative mortality was 2.3%. Murmurs of mitral insufficiency were present in 5 
      patients postoperatively, but only 1 required early reoperation for mitral valve 
      replacement. Follow-up data have been obtained on 80% of the patients. 
      Postoperative Functional Class was obtained for 63 of the 82 surviving patients 
      and showed 92% of these patients to be in NYHA Functional Class I or II. Mitral 
      valve repair incorporating the Puig-Massana-Shiley annuloplasty ring and valve 
      leaflet revision is a reliable technique that is not technically demanding. We 
      believe these methods should be attempted for correction of pure mitral 
      insufficiency, particularly in circumstances where other cardiac repairs are 
      required.
FAU - Murphy, J P Jr
AU  - Murphy JP Jr
FAU - Sweeney, M S
AU  - Sweeney MS
FAU - Cooley, D A
AU  - Cooley DA
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aortic Valve Insufficiency/complications
MH  - Child
MH  - Coronary Disease/complications
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Defects, Congenital/complications
MH  - *Heart Valve Prosthesis/adverse effects/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications/mortality/*surgery
MH  - Reoperation
EDAT- 1987/01/01 00:00
MHDA- 2001/03/28 10:01
CRDT- 1987/01/01 00:00
PHST- 1987/01/01 00:00 [pubmed]
PHST- 2001/03/28 10:01 [medline]
PHST- 1987/01/01 00:00 [entrez]
AID - S0003-4975(10)60166-X [pii]
AID - 10.1016/s0003-4975(10)60166-x [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1987 Jan;43(1):52-8. doi: 10.1016/s0003-4975(10)60166-x.