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


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
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):
Pino Fundarò
Andrea Moneta
Emmanuel Villa
Marco Pocar
Michele Triggiani
Francesco Donatelli
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 Fundarò, P.
Right arrow Articles by Grossi, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fundarò, P.
Right arrow Articles by Grossi, A.
Related Collections
Right arrow Valve disease

Ann Thorac Surg 2001;72:1515-1519
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

Chordal plication and free edge remodeling for mitral anterior leaflet prolapse repair: 8-year follow-up

Pino Fundarò, MD*a,b,c, Andrea Moneta, MDa,b,c, Emmanuel Villa, MDa,b,c, Marco Pocar, MDa,b,c, Michele Triggiani, MDa,b,c, Francesco Donatelli, MDa,b,c, Adalberto Grossi, MDa,b,c

a Divisione di Cardiochirurgia, IRCCS Ospedale Maggiore di Milano, Milan, Italy
b Istituto di Malattie dell’Apparato Cardiovascolare e Respiratorio, Milan, Italy
c Università degli Studi di Milano, Milan, Italy

Accepted for publication June 22, 2001.

* Address reprint requests to Dr Fundarò, Divisione di Cardiochirurgia, IRCCS Ospedale Maggiore di Milano, Via Francesco Sforza, 35, 20122 Milan, Italy
e-mail: grossil{at}mailserver.unimi.it

Background. Chordal suture plication and free edge remodeling represent a personal technique for the repair of anterior leaflet prolapse. We report the results of an 8-year experience.

Methods. Sixty-one patients with degenerative mitral regurgitation caused by prolapse of the anterior leaflet (11) or both leaflets (50) underwent anterior leaflet prolapse repair. Twenty patients who had associated cardiac procedures are included.

Results. There were two perioperative deaths. Postoperative mitral regurgitation fell to 0.4 ± 0.7 versus 3.7 ± 0.4 preoperative (p < 0.0001). Mean follow-up was 40.5 months. There were 3 late deaths and 3 mitral reoperations (1 of 3 repairs, 2 of 3 replacements). Thromboembolism and endocarditis occurred in 1 patient each. Actuarial overall survival, freedom from cardiac death, and freedom from mitral reoperation at 92 months were 85.1% ± 7.9%, 88.9% ± 7.7%, and 94.6% ± 3.0%, respectively.

Conclusions. Our technique of anterior leaflet prolapse repair appears effective, safe, and durable at mid- to long-term follow-up, and may be used in the presence of extensive disease of both leaflets.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
F. Y. Chen and L. H. Cohn
Mitral Valve Repair
Card. Surg. Adult, January 1, 2008; 3(2008): 1013 - 1030.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
R. Seitelberger, J. Bialy, R. Gottardi, W. Wisser, and E. Wolner
Triangular plication of the anterior mitral leaflet: a new operative technique
Ann. Thorac. Surg., August 1, 2004; 78(2): e36 - e37.
[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 © 2001 by The Society of Thoracic Surgeons.