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

This Article Full Text Full Text (PDF) 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): Yasuharu Imai Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ohno, H. Articles by Hiramatsu, T. Search for Related Content PubMed PubMed Citation Articles by Ohno, H. Articles by Hiramatsu, T.

Ann Thorac Surg 1999;68:537-541
© 1999 The Society of Thoracic Surgeons

---

Original Articles

The long-term results of commissure plication annuloplasty for congenital mitral insufficiency

^a Department of Pediatric Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan

Address reprint requests to Dr Ohno, Department of Pediatric Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan;
e-mail: ohno{at}mxu.mesh.ne.jp

Background. Mitral valve repair in the pediatric population remains demanding because of a diversity of apparatus anomalies and the young age of the patients.

Methods. We reviewed our clinical results for mitral valve repairs for congenital mitral insufficiency. Forty-nine consecutive patients aged 2 months to 34 years (mean, 4.4 years) had mitral valve repair between June 1984 and December 1996. Forty-one patients (83.7%) had associated cardiac anomalies. The predominant pathologies for the regurgitations were chordal anomalies in 34 patients (69%), annular dilatation in 8 (16%), and leaflet anomalies in 7 (14%). Mitral valve repair included commissure plication annuloplasty in 43 patients (88%), modified DeVega in 11, cleft closure in 5, plication of the anterior leaflet in 3, triangular resection of the anterior leaflet in 2, chordal shortening in 1, and placement of artificial chordae in 1. Several combined techniques were required in 19 patients.

Results. There were no early or late deaths. The follow-up period was from 6 to 166 months (mean, 88.4 months). Forty-seven patients (95.9%) were in New York Heart Association class I. The long-term echocardiographic studies showed that 2 of 30 patients without reoperation had moderate regurgitation. The actuarial freedom from reoperation was 85.6% (95% confidence limits, 72.8%, 98.4%) at 13 years. Five patients (10.2%) required valve replacement from 13 days to 75 months after the valve repair. Two patients had cerebral ischemic events as a result of cardiomegaly and atrial fibrillation.

Conclusions. Valve repair for congenital mitral insufficiency gave adequate results in combination with commissure plication annuloplasty and other techniques with excellent long-term functional status.

This article has been cited by other articles:

				R. Zegdi, B. Amahzoune, M. Ladjali, G. Sleilaty, J. Jouan, C. Latremouille, A. Deloche, and J.-N. Fabiani Congenital mitral valve regurgitation in adult patients. A rare, often misdiagnosed but repairable, valve disease Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 751 - 754. [Abstract] [Full Text] [PDF]

				R. Hetzer, E. B. M. D. Walter, M. Hubler, V. Alexi-Meskishvili, Y. Weng, N. Nagdyman, and F. Berger Modified Surgical Techniques and Long-Term Outcome of Mitral Valve Reconstruction in 111 Children Ann. Thorac. Surg., August 1, 2008; 86(2): 604 - 613. [Abstract] [Full Text] [PDF]

				P. Fundaro, P. M Tartara, E. Villa, P. Fratto, S. Campisi, and E. O Vitali Mitral Valve Repair: Is There Still a Place for Suture Annuloplasty? Asian Cardiovasc Thorac Ann, August 1, 2007; 15(4): 351 - 358. [Abstract] [Full Text] [PDF]

				R. Pretre, A. Kadner, H. Dave, D. Bettex, and M. I. Turina Overlapping annuloplasty of the mitral valve in children Ann. Thorac. Surg., May 1, 2004; 77(5): 1857 - 1859. [Abstract] [Full Text] [PDF]

				K. Kirali, D. Mansuroglu, Y. Ozen, N. U. Bozbuga, A. Tuncer, M. E. Toker, M. Sismanoglu, and C. Yakut Mitral Clefts and Interatrial Septum Defects: 15-Year Results Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 135 - 138. [Abstract] [Full Text] [PDF]

				T. Sugita, Y. Ueda, M. Matsumoto, H. Ogino, J.-i. Nishizawa, and K. Matsuyama Early and late results of partial plication annuloplasty for congenital mitral insufficiency J. Thorac. Cardiovasc. Surg., August 1, 2001; 122(2): 229 - 233. [Abstract] [Full Text] [PDF]