PMID- 7775549
OWN - NLM
STAT- MEDLINE
DCOM- 19950710
LR  - 20161026
IS  - 0021-9509 (Print)
IS  - 0021-9509 (Linking)
VI  - 35
IP  - 6 Suppl 1
DP  - 1994 Dec
TI  - Total preservation of chordae tendinae in mitral valve replacement (MVR).
PG  - 237-41
AB  - Chordal papillary integrity is crucial for a good left ventricular performance 
      following mitral valve surgery. From June 1991-July 1993 (2 years), 200 mitral 
      surgeries were performed by the authors out of which MVR were done by preserving 
      all chordae tendineae in 36 patients (18%), ages 11-64 years (mean 36 +/- 13.2 
      SD), female to male ratio 3:1, New York Heart Association (NYHA) functional class 
      III-IV. Preoperative workup revealed pure mitral stenosis (MS) in 12 patients 
      (33%), mitral regurgitation (MR) in 16 (44%), MS + MR in 7 (19%), MS + aortic 
      regurgitation (AR) in 4 (11%), MR + secundum atrial septal defect (ASD) in 2 
      (6%), MR + primum ASD in 1, MR + coronary artery disease (CAD) in 1 (3%) and 
      moderate to severe pulmonary hypertension in all. Twenty-two patients (61%) had 
      MVR only, 4 (11%) had MVR + aortic valve replacement (AVR), 10 (29%) had MVR + 
      tricuspid annuloplasty (TVA), MVR + secundum ASD closure in 2 (6%), MVR+primum 
      ASD closure in 1 (3%) and MVR + coronary artery bypass grafting (CABG) in 1 (3%). 
      Bioprosthesis used were: St. Vincents 17 (47%) and Carpentier Edwards 2 (6%). 
      Mechanical valves used were: St. Jude's 1 (3%), Bjork-Shiley 2 (6%), St. Vincents 
      5 (14%), CarboMedics 9 (25%). Success of the procedure were accomplished in all 
      (100%) and was judged by extubation period of 6-18 hours, decreased pulmonary 
      artery pressure, good prosthetic function and adequate ventricular performance by 
      subsequent echocardiographic assessments. There were no early (< 30 days) 
      mortality. All patients showed NYHA functional class I-II except in one with 
      Marfan syndrome.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Binafsihi, W
AU  - Binafsihi W
AD  - Department of Thoracic and Cardiovascular, Gatot Soebroto Army Central Hospital, 
      Jakarta, Indonesia.
FAU - Kirlan, S
AU  - Kirlan S
FAU - Abdulgani, H B
AU  - Abdulgani HB
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aortic Valve Stenosis/complications/surgery
MH  - *Bioprosthesis
MH  - Child
MH  - *Chordae Tendineae
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Hypertension, Pulmonary/complications
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Insufficiency/complications/surgery
MH  - Mitral Valve Stenosis/complications/surgery
MH  - Postoperative Complications
MH  - Time Factors
EDAT- 1994/12/01 00:00
MHDA- 1994/12/01 00:01
CRDT- 1994/12/01 00:00
PHST- 1994/12/01 00:00 [pubmed]
PHST- 1994/12/01 00:01 [medline]
PHST- 1994/12/01 00:00 [entrez]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 1994 Dec;35(6 Suppl 1):237-41.