Document Detail


Initial results of posterior leaflet extension for severe type IIIb ischemic mitral regurgitation.
MedLine Citation:
PMID:  19451349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Management of severe ischemic mitral regurgitation remains difficult with disappointing early and intermediate-term surgical results of valve repair. METHODS AND RESULTS: Forty-four patients with severe (4+) Carpentier type IIIb ischemic mitral regurgitation underwent mitral valve repair, with or without surgical revascularization, by posterior leaflet extension with a patch of bovine pericardium and a remodeling annuloplasty. Serial echocardiography was performed preoperatively, intraoperatively, and postoperatively to assess mitral valve competence. The postoperative functional status of patients was assessed. The average Parsonnet score was 38+/-13. Thirty-day mortality was 11%, and late mortality was 14%. Mean follow-up was 38 months. The actuarial freedom from moderate or severe recurrent mitral regurgitation was 90% at 2 years, whereas 90% of patients were in New York Heart Association class I at 2 years. CONCLUSIONS: Posterior leaflet extension with annuloplasty of the mitral valve for severe type IIIb ischemic regurgitation is a safe, effective method that provides good early and intermediate-term competence of the mitral valve and therefore good functional status.
Authors:
Benoit de Varennes; Rakesh Chaturvedi; Surita Sidhu; Annie V C?t?; William Li Pi Shan; Caroline Goyer; Roupen Hatzakorzian; Jean Buithieu; Allan Sniderman
Related Documents :
20862239 - Percutaneous mitral valve repair using the edge-to-edge technique in a high-risk popula...
20223339 - Double y glanuloplasty for glanular hypospadias.
24114749 - Graft selection in anterior cruciate ligament reconstruction for smoking patients.
19740489 - Long-term outcome of modified maze procedure combined with mitral valve surgery: analys...
10750749 - Cosgrove-edwards annuloplasty system: midterm results.
18657669 - Impact of concomitant aortic regurgitation on percutaneous mitral valvuloplasty: immedi...
15683259 - Preliminary results after application of absorbable metal stents in patients with criti...
23314499 - Design and implementation of a control system reflecting the level of analgesia during ...
22959569 - Reoperative sternotomy is associated with increased mortality after heart transplantation.
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-05-18
Journal Detail:
Title:  Circulation     Volume:  119     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-02     Completed Date:  2009-06-25     Revised Date:  2010-03-02    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2837-43     Citation Subset:  AIM; IM    
Affiliation:
McGill University Health Center, Montreal, Quebec, Canada. benoit.devarennes@muhc.mcgill.ca
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Valve / surgery
Bioprosthesis
Echocardiography, Doppler, Color
Female
Follow-Up Studies
Humans
Internal Mammary-Coronary Artery Anastomosis
Male
Middle Aged
Mitral Valve / surgery*,  ultrastructure
Mitral Valve Insufficiency / etiology,  surgery*,  ultrasonography
Myocardial Infarction / complications*,  surgery
Postoperative Complications / mortality
Prostheses and Implants
Retrospective Studies
Suture Techniques
Treatment Outcome
Tricuspid Valve / surgery
Ventricular Function, Left
Comments/Corrections
Comment In:
Circulation. 2009 Jun 2;119(21):2755-7   [PMID:  19451345 ]
Circulation. 2010 Feb 16;121(6):e36   [PMID:  20159839 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Increased glucose uptake and oxidation in mouse hearts prevent high fatty acid oxidation but cause c...
Next Document:  Time-varying myocardial stress and systolic pressure-stress relationship: role in myocardial-arteria...