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Ann Thorac Surg 2004;77:1985-1988
© 2004 The Society of Thoracic Surgeons

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Original article: cardiovascular

Mitral valve repair with the Colvin-Galloway future band

^a Department of Cardiovascular Surgery, Hospital Lainz, University of Vienna, Vienna, Austria
^b Department of Cardiology, AKH, University of Vienna, Vienna, Austria

Accepted for publication November 12, 2003.

^* Address reprint requests to Dr Fasol, IMC—International Medical Center Krems-Hollenburg, Krustettnerstrasse, A-3506 Krems/Hollenburg, Austria
e-mail: rfasol{at}heart-surgeon.com

BACKGROUND: A new annuloplasty device, the Colvin-Galloway Future Band, has been developed to allow simple and safe mitral valve repair surgery. Here we report its clinical use and the clinical results after a short-term, 2-year follow-up.

METHODS: We assessed the performance of this new device in 40 consecutive patients (55% male; mean age, 68.3 ± 8.1 years) who were operated on for mitral valve incompetence between 2001 and 2002. Ninety percent of these patients had associated surgical procedures. Clinical and echocardiographic assessment was performed perioperatively and at a mean follow-up of 16.5 ± 5.7 months (range, 6 to 25 months) in all patients (100%), permitting analysis of 55 patient-years.

RESULTS: Thirty-eight patients survived surgery, resulting in an overall early mortality of 5.0%. There were four noncardiac-related late deaths, resulting in an overall late mortality of 10.0%. Perioperative echocardiography showed no incidences of systolic anterior movement at the time of discharge from the hospital and satisfactory mitral repair results in 36 (95%) patients. At the time of the 2-year follow-up, echocardiography showed satisfactory mitral valve function in all but 2 patients (94%) and a significant postoperative ventricular remodeling: the left ventricular end-diastolic diameter decreased from 64.5 ± 6.2 mm preoperatively to 50.4 ± 9.5 mm postoperatively (p < 0.1). At the time of follow-up, 29 (90.6%) patients were in New York Heart Association functional class I or II, all of them describing their quality of life as "significantly improved" if compared with their preoperative status. There were no late reoperations and no thromboembolic, bleeding, or other complications.

CONCLUSIONS: The clinical results of the Colvin-Galloway Future Band in this short-term follow-up of patients undergoing complex mitral valve repair seem to be promising.

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