ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Miguel Sousa Uva
Victor A. Jebara
Christophe Acar
Jean-Noël Fabiani
Alain F. Carpentier
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Uva, M. S.
Right arrow Articles by Carpentier, A. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Uva, M. S.
Right arrow Articles by Carpentier, A. F.

Ann Thorac Surg 1992;54:89-92
© 1992 The Society of Thoracic Surgeons

Articles

Mitral valve repair in patients with endomyocardial fibrosis

Miguel Sousa Uva, MD, Victor A. Jebara, MD, Christophe Acar, MD*, Patrice Dervanian, MD, Sylvain Chauvaud, MD, Jean F. Fuzellier, MD, Jean-Noël Fabiani, MD, Alain Deloche, MD, Alain F. Carpentier, MD, PhD

Department of Cardiovascular Surgery, Hôpital Broussais, Paris, France

Accepted for publication December 16, 1991.

* Address reprint requests to Dr Acar, Department of Cardiovascular Surgery, Hôpital Broussais, 96 rue Didot, 75014 Paris, France.

Between 1987 and 1990, 12 patients were operated on for endomyocardial fibrosis at our institution. Nine were treated by endocardectomy and mitral valve repair and constitute the material of this study. Ages ranged from 9 to 58 years (mean age, 32.5 years). Biventricular involvement was present in 3 cases, and 6 patients had predominantly left ventricular endomyocardial fibrosis. Six patients were in New York Heart Association class III/IV. Six patients had severe mitral insufficiency (3 to [equation]) and 3 patients had moderate mitral insufficiency ([equation]). The operation consisted of left ventricular endocardectomy with complete detachment and mobilization of the posterior leaflet of the mitral valve in all cases. An autologous pericardial patch was used to reconstruct posterior leaflet continuity in 4 patients. In 7 patients a prosthetic mitral ring was used. In 3 patients right ventricular endocardectomy and tricuspid valve repair were also performed. All patients survived and none required early reoperation. Follow-up was complete and ranged from 9 to 38 months. No late deaths occurred, and 1 patient required mitral valve replacement for recurrent mitral regurgitation. Doppler echocardiographic studies were performed in 7 patients and revealed no or mild mitral insufficiency. In conclusion, mitral valve repair is safe and offers good early and late results in patients with endomyocardial fibrosis.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
S. M. Cherian, B. R. Jagannath, S. Nayar, and K. M. Cherian
Successful reoperation after 17 years in a case of endomyocardial fibrosis.
Ann. Thorac. Surg., September 1, 2006; 82(3): 1115 - 1117.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1992 by The Society of Thoracic Surgeons.