Mitral Valve Reconstruction in Mitral Insufficiency: Intermediate-Term Results.
- Author:
Seok Ki KIM
1
;
Kyung Hwa KIM
;
Kong Soo KIM
;
Jung Koo JO
;
Dong Keun SHIN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chonbuk National University, College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Mitral valve, repair;
Mitral valve
- MeSH:
Cause of Death;
Classification;
Constriction, Pathologic;
Female;
Humans;
Male;
Mitral Valve Insufficiency*;
Mitral Valve*;
Mortality;
Papillary Muscles;
Renal Insufficiency;
Respiratory Insufficiency;
Sepsis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(10):705-711
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The advantages of mitral valve reconstruction have been well established and so mitral valve reconstruction is now considered as the procedure of choice to correct mitral vlave disease. This is the report of intermediate-term results of 38 cases that performed mitral valve reconstruction for valve insufficiency(the total number of mitral valve reconstruction were 49 cases, but 11 cases that performed mitral valve replacement due to incomplete reconstruction were excluded). MATERIAL AND METHOD: From March 1991 to March 2001, 38 patients underwent mitral vlave repair due to mitral valve regurgitation with or without stenosis. Mean age was 47.6+/-14.7 years(range 15 to 70 years) : 11 were men and 27 were women. The causes of mitral valve regurgitation were degenerative in 14, rheumatic in 21, infective in 2 and the other was congenital. RESULT: According to the Carpentier's pathologic classification of mitral valve regurgitation, 3 were type I, 16 were type II and 19 were type III. Surgical procedures were annuloplasty 15, commissurotomy 19, leaflet resection and annular plication 9, chordae shortening 11, chordae transfer 5, new chordae formation 2, papillary muscle splitting 2 and vegetectomy 2. These procedures were combined in most patients. There were 2 early death and the causes of death were respiratory failure, renal failure and sepsis. There was no late death. Valve replacement was done in 6 patients after repair due to valve insufficiency or stenosis 3 weeks, 1,3,51,69,84months later respectively. These patients have been followed up from 1 to 116 months(mean 43.0 months). The mean functional class(NYHA) was 2.36 pre-operatively and improved to 1.70. CONCLUSION: In most cases of mitral valve regurgitation, mitral valve reconstruction when technically feasible is effective operation that can achieve stable functional results and low surgical and late mortality.
