HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Albert Starr Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Nunley, D. L. Articles by Starr, A. Search for Related Content PubMed PubMed Citation Articles by Nunley, D. L. Articles by Starr, A.

Ann Thorac Surg 1984;37:393-397
© 1984 The Society of Thoracic Surgeons

---

Articles

The Evolution of Reparative Techniques for the Mitral Valve

Division of Cardiopulmonary Surgery, The Oregon Health Sciences University and St. Vincent Hospital and Medical Center, Portland, OR

Accepted for publication August 10, 1983.

^* Address reprint requests to Dr. Nunley, The Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201

Forty-eight adult patients underwent mitral valve repair for nonischemic valvular incompetence between 1963 and 1981. Early in our experience, 21 individuals received wedge leaflet resection or leaflet plication with posteromedial commissural annuloplasty. More recently, midleaflet annuloplasty has been employed in 13 patients and is now our preferred technique. Operative mortality was 6.3%, and all deaths occurred prior to 1973. Eventually valve replacement was necessary in 10 patients; all replacements were done prior to 1977. Technical errors and progression of rheumatic disease each accounted for half of these replacements. Five-year survival by the life table method was 74 ± 9% for the entire group. Survival at 5 years for patients with prolapsing leaflets was significantly better (87 ± 7%) than for those with normal leaflet motion (46 ± 14%). A residual postoperative murmur of mitral insufficiency correlated with the likelihood of subsequent valve replacement. Important technical aspects of valve repair are described, and criteria for optimal patient selection are discussed. The evolution of reparative methods has led to a better understanding and broader application of mitral valve reconstruction.

This article has been cited by other articles:

				M. Murtra The adventure of cardiac surgery Eur J Cardiothorac Surg, February 1, 2002; 21(2): 167 - 180. [Full Text] [PDF]

				O. Isik, M. Balkanay, R. Zeybek, O. Bayezid, and C. Yakut Clinical Results of Reconstructive Surgery of the Mitral Valve Vascular and Endovascular Surgery, October 1, 1991; 25(8): 595 - 606. [Abstract] [PDF]

				J. P. Murphy Jr., M. S. Sweeney, and D. A. Cooley The Puig-Massana-Shiley Annuloplasty Ring for Mitral Valve Repair: Experience in 126 Patients Ann. Thorac. Surg., January 1, 1987; 43(1): 52 - 58. [Abstract] [PDF]