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Ann Thorac Surg 1989;47:524-528
© 1989 The Society of Thoracic Surgeons
Divisions or Cardiovascular Surgery and Cardiology, Toronto Western Hospital and University of Toronto, Toronto, Ontario, Canada
* Address reprint requests to Dr David, Toronto Western Hospital, 399 Bathurst St, Toronto, Ont, Canada M5T 2S8.
This study was undertaken to determine whether rigidring annuloplasty and flexible-ring annuloplasty have the same effect on left ventricular function in patients with chronic mitral regurgitation secondary to degenerative disease of the mitral valve. Twenty-five patients who underwent isolated mitral valve repair and required annuloplasty were randomized into two groups: rigidring and flexible-ring annuloplasty. Left ventricular function was assessed by echocardiography and radionuclide angiography on the day before operation and 2 to 3 months later. Preoperative left ventricular function was similar in the two groups of patients. Postoperatively, left ventricular end-diastolic diameter and volume decreased significantly in both groups. The left ventricular end-systolic diameter and volume decreased significantly only in patients with a flexible annuloplasty ring. Left ventricular systolic function as assessed by pressure-volume relationships was significantly better in patients with a flexible ring (p < 0.02 by analysis of covariance), and left ventricular performance measured by stroke volume-end-diastolic volume relationships was also better in these patients (p < 0.05 by analysis of covariance). These data indicate that patients with a flexible annuloplasty ring have better left ventricular systolic function than patients with a rigid annuloplasty ring 2 to 3 months after mitral valve reconstruction for chronic mitral regurgitation secondary to degenerative disease of the mitral valve.
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J. R. Glasson, M. Komeda, G. T. Daughters, M. A. Niczyporuk, A. F. Bolger, N. B. Ingels, and D. C. Miller THREE-DIMENSIONAL REGIONAL DYNAMICS OF THE NORMAL MITRAL ANULUS DURING LEFT VENTRICULAR EJECTION J. Thorac. Cardiovasc. Surg., March 1, 1996; 111(3): 574 - 585. [Abstract] [Full Text]
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A. F. Carpentier, A. Lessana, J. Y. M. Relland, E. Belli, S. Mihaileanu, A. J. Berrebi, E. Palsky, and D. F. Loulmet The "Physio-Ring": an advanced concept in mitral valve annuloplasty Ann. Thorac. Surg., November 1, 1995; 60(5): 1177 - 1186. [Abstract] [PDF]
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J. A. Odell, H. V. Schaff, and T. A. Orszulak Early Results of a Simplified Method of Mitral Valve Annuloplasty Circulation, November 1, 1995; 92(9): 150 - 154. [Abstract] [Full Text]
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A. DeAnda Jr, M. Komeda, S. D. Nikolic, G. T. Daughters II, N. B. Ingels, and D. C. Miller Left Ventricular Function, Twist, and Recoil After Mitral Valve Replacement Circulation, November 1, 1995; 92(9): 458 - 466. [Abstract] [Full Text]
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D. M. Cosgrove III, J. M. Arcidi, L. Rodriguez, W. J. Stewart, K. Powell, and J. D. Thomas Initial experience with the Cosgrove-Edwards annuloplasty system Ann. Thorac. Surg., September 1, 1995; 60(3): 499 - 504. [Abstract] [PDF]
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Y. Okada, T. Shomura, Y. Yamaura, and J. Yoshikawa Comparison of the Carpentier and Duran prosthetic rings used in mitral reconstruction Ann. Thorac. Surg., March 1, 1995; 59(3): 658 - 663. [Abstract] [PDF]
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T. J. Vander Salm, L. A. Pape, and J. F. Mauser Mitral valve replacement with complete retention of native leaflets Ann. Thorac. Surg., January 1, 1995; 59(1): 52 - 55. [Abstract] [PDF]
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C.-H. Chang, P. J. Lin, J.-P. Chang, J.-J. Chu, M.-J. Hsieh, and C.-W. Chiang Long-term results of polytetrafluoroethylene mitral annuloplasty Ann. Thorac. Surg., March 1, 1994; 57(3): 644 - 647. [Abstract] [PDF]
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A. M. Gillinov, A. Hulyalkar, D. E. Cameron, P. W. Cho, P. S. Greene, B. A. Reitz, R. E. Pyeritz, and V. L. Gott Mitral valve operation in patients with the Marfan syndrome J. Thorac. Cardiovasc. Surg., March 1, 1994; 107(3): 724 - 731. [Abstract] [Full Text]
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L. H. Cohn, G. S. Couper, S. F. Aranki, R. J. Rizzo, N. M. Kinchla, and J. J. Collins Jr. Long-term results of mitral valve reconstruction for regurgitation of the myxomatous mitral valve J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 143 - 151. [Abstract] [Full Text]
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T. E. David, S. Armstrong, Z. Sun, and L. Daniel Late results of mitral valve repair for mitral regurgitation due to degenerative disease Ann. Thorac. Surg., July 1, 1993; 56(1): 7 - 14. [Abstract] [PDF]
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D. A. Cooley, R. T. Baldwin, and S. Wilansky A cost-effective Dacron annuloplasty ring Ann. Thorac. Surg., July 1, 1993; 56(1): 185 - 186. [Abstract] [PDF]
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W. G. Hendren, J. J. Nemec, B. W. Lytle, F. D. Loop, P. C. Taylor, R. W. Stewart, and D. M. Cosgrove Mitral valve repair for ischemic mitral insufficiency Ann. Thorac. Surg., December 1, 1991; 52(6): 1246 - 1252. [Abstract] [PDF]
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P. Fundaro, M. Salati, A. Cialfi, and C. Santoli Polytetrafluoroethylene posterior annuloplasty for mitral regurgitation Ann. Thorac. Surg., July 1, 1990; 50(1): 165 - 166. [PDF]
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A. Carpentier Mitral valve annuloplasty Ann. Thorac. Surg., March 1, 1990; 49(3): 508 - 508. [PDF]
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T. E. David Reply Ann. Thorac. Surg., March 1, 1990; 49(3): 508 - 509. [PDF]
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