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The Annals of Thoracic Surgery, Vol 47, 524-527, Copyright © 1989 by The Society of Thoracic Surgeons
TE David, M Komeda, C Pollick and RJ Burns
This study was undertaken to determine whether rigid-ring 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: rigid-ring 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 less than 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 less than 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.
ARTICLES
Mitral valve annuloplasty: the effect of the type on left ventricular function
Division of Cardiovascular Surgery, Toronto Western Hospital, Ontario, Canada.
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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 - 503. [Abstract] [Full Text]
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T. E. David Update on Mitral Valve Repair Ann. Thorac. Surg., May 1, 1995; 59(5): 1257 - 1258. [Full Text]
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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 - 662. [Abstract] [Full Text]
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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] [Full Text]
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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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