Document Detail


Mitral valve annuloplasty with a bovine pericardial strip--18-year results.
MedLine Citation:
PMID:  16138237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Prosthetic annuloplasty rings are currently used in mitral reconstruction. Posterior annuloplasty with a bovine pericardial strip is a technique largely used in the Heart Institute of University of São Paulo Medical School. The purpose of the study was to analyze the late results of mitral valve repair with posterior annuloplasty using a bovine pericardial strip. METHODS: Between January 1984 and December 2002, 273 patients underwent mitral valve repair with posterior pericardial annuloplasty in the Heart Institute of University of São Paulo Medical School. One hundred and forty four (52.7%) were women and ages ranged between 1 and 76 years (38.3 +/- 21.1). Rheumatic fever was present in 52.0% of the patients. Associated techniques were employed in 26.0% of the patients, and the most frequent was chordal shortening (9.2%). RESULTS: Hospital mortality was 3.3% (9 patients), with the major cause being low cardiac output (6 patients). Actuarial survival was 55.1% +/- 16.8% in 18 years. During the 18-year follow-up: patients were free from the following: reoperation (59.1% +/- 13.9%, (percent +/- Standard Error), thromboembolism (97.4% +/- 2.3%), hemolysis (99.2% +/- 0.2%), and endocarditis (99.6% +/- 1.0%). In the late follow-up period, 83.9% were classified as New York Heart Association functional class I. CONCLUSIONS: Late results with mitral valve repair with posterior annuloplasty using a bovine pericardial strip were satisfactory. The technique is feasible, reproducible, and cost effective.
Authors:
Pablo Maria Alberto Pomerantzeff; Carlos Manuel de Almeida Brandão; João Marcelo Ancilon Albuquerque; Paola Yastrevov Pomerantzeff; Flavio Takeda; Sergio A Oliveira
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Publication Detail:
Type:  Journal Article     Date:  2005-08-29
Journal Detail:
Title:  Clinics (São Paulo, Brazil)     Volume:  60     ISSN:  1807-5932     ISO Abbreviation:  Clinics (Sao Paulo)     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-09-02     Completed Date:  2006-08-18     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  101244734     Medline TA:  Clinics (Sao Paulo)     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Affiliation:
Heart Institute, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil. dcipablo@incor.usp.br
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Animals
Bioprosthesis*
Cattle
Child
Child, Preschool
Disease-Free Survival
Female
Follow-Up Studies
Heart Valve Prosthesis*
Humans
Infant
Male
Middle Aged
Mitral Valve Insufficiency / surgery*
Pericardium / transplantation*
Treatment Outcome

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


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