1. Mitral annuloplasty with a flexible linear reducer
- Author
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Jean-Pierre Fleury, Lionel Camilleri, Marc Filaire, Patrick Bailly, Véronique Eder, Alberto Repossini, Charles de Riberolles, and Benoit Legault
- Subjects
Pulmonary and Respiratory Medicine ,Adult ,Male ,medicine.medical_specialty ,Regurgitation (circulation) ,Postoperative Complications ,Mitral valve ,medicine ,Methods ,Humans ,cardiovascular diseases ,Mitral Annuloplasty ,New York Heart Association Class I ,Aged ,Aged, 80 and over ,Reducer ,business.industry ,Operative mortality ,Mitral Valve Insufficiency ,Middle Aged ,Surgery ,Survival Rate ,medicine.anatomical_structure ,cardiovascular system ,Etiology ,Mitral Valve ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Although the ideal technique is still controversial, mitral valve reconstruction for mitral insufficiency usually includes an annuloplasty. From August 1985 to June 1993, 126 cases of pure, acquired mitral insufficiency were repaired by means of a posterior annuloplasty. Whatever the etiology, all types of mitral insufficiency allowing a mitral reconstruction were included. The annuloplasty, performed with a flexible linear reducer, was associated with valvular (62%) and subvalvular (11%) repairs. An associated surgical procedure was necessary in 62% of the patients. Operative mortality was 2.4%, and follow-up (mean 29 months) was complete for all survivors. Five-year survival was 90%. Five-year complication-free rate for emboli was 91%. Only one patient at 12 months underwent reoperation to treat recurrent mitral insufficiency. Ninety-seven patients were in New York Heart Association Class I or II. Follow-up echocardiographic studies on 75% of eligible patients showed a free rate for significant regurgitation of 99%. Mean valve area was estimated at 2.88 +/- 0.85 cm2. These findings suggest that the flexible linear reducer seems to be a reliable device and a valid alternative for annuloplasty.
- Published
- 1995