Document Detail

Surgical treatment of mitral systolic click syndrome: results in 37 patients.
MedLine Citation:
PMID:  3970609     Owner:  NLM     Status:  MEDLINE    
From 1974 to 1983, 37 symptomatic patients with mitral systolic click (Barlow's syndrome) underwent mitral valve repair. In 11 patients (30%), the click syndrome was associated with minor mitral regurgitation. Thirty-two patients (86%) had chest pain, 20 had arrhythmia (54%), and 20 had dyspnea as a major complaint. In 5 patients, the arrhythmia was serious, and in 2 of them, it was potentially life threatening. Mitral annuloplasty using a collar prosthesis was performed in 33 patients with posterior leaflet plication in 2, shortening of the chordae in 1, and commissural plication in 2. In 4 patients, commissural plication was performed. One of these patients also required cusp plication and shortening of the chordae, and another required repair of ruptured chordae. There were no operative or late cardiac-related deaths at a mean follow-up of 4.7 years (range, 1 to 10 years). Sixty-two percent of patients with prolapse alone and 91% of those with associated regurgitation were improved by at least one New York Heart Association Functional Class, with 60% of patients obtaining relief of one or more symptoms. In the presence of major symptoms, mitral annuloplasty offers symptomatic relief for some patients with mitral systolic click syndrome without valve incompetence, but it gives substantially better results in patients with mitral regurgitation.
I J Reece; D A Cooley; G A Painvin; O U Okereke; P L Powers; L W Pechacek; O H Frazier
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  39     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-03-05     Completed Date:  1985-03-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-8     Citation Subset:  AIM; IM    
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MeSH Terms
Arrhythmias, Cardiac / etiology
Chordae Tendineae / surgery
Follow-Up Studies
Heart Valve Prosthesis* / adverse effects
Ischemic Attack, Transient / etiology
Middle Aged
Mitral Valve / surgery
Mitral Valve Prolapse / surgery*
Myocardial Infarction / etiology
Pacemaker, Artificial

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

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