PMID- 9013016
OWN - NLM
STAT- MEDLINE
DCOM- 19970429
LR  - 20191024
IS  - 0967-2109 (Print)
IS  - 0967-2109 (Linking)
VI  - 4
IP  - 6
DP  - 1996 Dec
TI  - Mitral valve reconstruction: long-term results of 120 cases.
PG  - 813-9
AB  - Between January 1977 and December 1992, 120 patients underwent mitral valve 
      reconstruction for pure mitral valve regurgitation (n = 88), or associated with 
      mitral stenosis (n = 32). The mean age was 57.6 years. Some 89 patients were in 
      New York Heart Association (NYHA) class III and IV; 61% were in atrial 
      fibrillation. Four mechanisms of mitral regurgitation were assessed: dilatation 
      of the annulus (group I: n = 10); increased amplitude of valve motion (group II: 
      n = 62); restriction of valve motion (group III: n = 23), and mixed lesions 
      (group IV: n = 25). Mitral valve repair was carried out using techniques 
      described by Carpentier. Ring annuloplasty was performed in all patients. There 
      were two operative deaths, and six late deaths. Mean patient follow-up was 41 
      (range 2-142) months. The actuarial survival rate, excluding hospital deaths, was 
      91.7% at 5 years and 89.1% at 8 years. Actuarial freedom from reoperation at 8 
      years was 95(2)%. Freedom from all thromboembolic complications was 89.1% at 8 
      years. Most survivors had improved to NYHA class I or II and postoperative 
      Doppler echocardiography revealed satisfactory mitral valve competence in 83 
      patients. Mitral valve reconstruction for mitral regurgitation using Carpentier 
      techniques provides excellent long-term functional results and should be 
      considered as the procedure of choice in patients referred for mitral 
      regurgitation.
FAU - Soyer, R
AU  - Soyer R
AD  - Department of Cardiac Surgery, Hopital Charles Nicolle, CHU Rouen, France.
FAU - Bouchart, F
AU  - Bouchart F
FAU - Bessou, J P
AU  - Bessou JP
FAU - Tabley, A
AU  - Tabley A
FAU - Mouton-Schleifer, D
AU  - Mouton-Schleifer D
FAU - Redonnet, M
AU  - Redonnet M
FAU - Arrignon, J
AU  - Arrignon J
FAU - Letac, B
AU  - Letac B
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - England
TA  - Cardiovasc Surg
JT  - Cardiovascular surgery (London, England)
JID - 9308765
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Disease-Free Survival
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Prosthesis/*methods/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/surgery
MH  - Mitral Valve Insufficiency/*surgery
MH  - Mitral Valve Stenosis/*surgery
MH  - Survival Rate
MH  - Treatment Outcome
EDAT- 1996/12/01 00:00
MHDA- 1996/12/01 00:01
CRDT- 1996/12/01 00:00
PHST- 1996/12/01 00:00 [pubmed]
PHST- 1996/12/01 00:01 [medline]
PHST- 1996/12/01 00:00 [entrez]
AID - S0967210996000531 [pii]
AID - 10.1016/s0967-2109(96)00053-1 [doi]
PST - ppublish
SO  - Cardiovasc Surg. 1996 Dec;4(6):813-9. doi: 10.1016/s0967-2109(96)00053-1.