Anterior Mitral Leaflet Length: Predictor for Mitral Valve Repair in a Rheumatic Population

Gupta, Anubhav; Gharde, Parag; Kumar, Arkalgud Sampath

doi:10.1016/j.athoracsur.2010.07.035

Cited by 26 publications

(22 citation statements)

References 17 publications

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“…Augmentation of the anterior leaflet is recommended when the leaflet height measures less than 26 mm, whereas the cited threshold for the posterior leaflet is less than 10 mm [21,22]. The pericardial patch is sized according to the patient's leaflet geometry, with 1 to 2 mm of perimeter tissue preserved for suturing and valve-annular continuity.…”

Section: Commentmentioning

confidence: 99%

A Systematic Review of Mitral Valve Repair With Autologous Pericardial Leaflet Augmentation for Rheumatic Mitral Regurgitation

Mihos

Pineda

Capoulade

et al. 2016

The Annals of Thoracic Surgery

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A systematic review was conducted to assess the efficacy of mitral valve repair using glutaraldehyde-treated autologous pericardial leaflet augmentation for rheumatic mitral regurgitation (MR). Five retrospective studies were identified, which included 196 patients with moderate or greater MR. There was 1 operative death (0.5%). At a mean follow-up of 3.2 ± 2.2 years, moderate or greater MR reoccurred in 22 patients (11.2%), reoperation was required in 9 (4.6%), and the cumulative survival was 98.9%. Finally, outcomes were similar between the patients who underwent augmentation of the anterior vs the posterior mitral leaflet. Pericardial leaflet augmentation is a viable technique for the treatment of rheumatic MR.

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Section: Commentmentioning

confidence: 99%

A Systematic Review of Mitral Valve Repair With Autologous Pericardial Leaflet Augmentation for Rheumatic Mitral Regurgitation

Mihos

Pineda

Capoulade

et al. 2016

The Annals of Thoracic Surgery

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“…Anterior and posterior leaflet augmentation with autologous pericardium is a useful adjunct to compensate leaflet and chordae retraction [14,15]. None of the patients in our series required revision to a mechanical valve at over 2 years of follow-up.…”

Section: Discussionmentioning

confidence: 82%

“…Also redundant MV leaflet tissue after augmentation reduces mechanical stress on the noncoapted leaflets, the extent of coaptation or frictional interleaflet interaction does not independently influence leaflet stresses. Repair techniques that increase or preserve noncoapted leaflet area may decrease mechanical stresses and thereby enhance repair durability [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Midterm Results of Leaflet Augmentation in Mitral Valve Repairin Rheumatic Valves Experience in One Center

Badr¹,

Brik²,

Salem³

et al. 2013

WJCS

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Patients with severe mitral regurgitation (MR) should undergo surgery when they present symptoms or if asymptomatic when there is objective evidence of left ventricular dysfunction. In this work, we analyze the midterm results of leaflet augmentation in mitral valve repair of rheumatic valves with gluteraldehyde preserved autologous pericardium. Patients and Methods: In our department 48 patients were exposed to mitral valve repair by leaflet augmentation either anterior or posterior beside other technique and all patients supported by flexible annuloplasty ring and followed for five years clinically and by echocardiography. Results: Age of the patients ranging from 12 to 47 years, mean age 25.9 ± 8.9 and there were 12 males (25%) and 36 females (75%) with male to female ratio of 1:3. All patients presented with shortness of breath (100%); with 14 patients were in NYHA class III (29.17%) and 34 patients were in NYHA class IV (70.83%). During follow-up period 5 patients needed reoperation by valve replacement, causes of reoperation were restrictive valve motion in one patient, left atrial thrombus in 1 patient and sever mitral regurgitation in 3 patients. Freedom from reoperation was 87.5%. At 5 years, (92.9%) were in New York Heart Association functional class I, three patients (7.1%) were in class II. Echocardiography at follow-up showed satisfactory mitral valve function. Conclusion: leaflet augmentation is a simple and reproducible method of valve repair for rheumatic MR with good midterm result.

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“…Valve morphology has also been shown to predict outcome for those undergoing RHD-related mitral valve repair including the absence of deformity of the mitral valves leaflets and mitral valve prolapse [11] and maintenance of anterior mitral leaflet mobility [12]. …”

Section: Introductionmentioning

confidence: 99%

Outcome following valve surgery in Australia: development of an enhanced database module

Russell

Reid

Walsh

et al. 2017

BMC Health Serv Res

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BackgroundValvular heart disease, including rheumatic heart disease (RHD), is an important cause of heart disease globally. Management of advanced disease can include surgery and other interventions to repair or replace affected valves. This article summarises the methodology of a study that will incorporate enhanced data collection systems to provide additional insights into treatment choice and outcome for advanced valvular disease including that due to RHD.MethodsAn enhanced data collection system will be developed linking an existing Australian cardiac surgery registry to more detailed baseline co-morbidity, medication, echocardiographic and hospital separation data to identify predictors of morbidity and mortality outcome following valve surgery.DiscussionThis project aims to collect and incorporate more detailed information regarding pre and postoperative factors and subsequent morbidity. We will use this to provide additional insights into treatment choice and outcome.

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Anterior Mitral Leaflet Length: Predictor for Mitral Valve Repair in a Rheumatic Population

Cited by 26 publications

References 17 publications

A Systematic Review of Mitral Valve Repair With Autologous Pericardial Leaflet Augmentation for Rheumatic Mitral Regurgitation

A Systematic Review of Mitral Valve Repair With Autologous Pericardial Leaflet Augmentation for Rheumatic Mitral Regurgitation

Midterm Results of Leaflet Augmentation in Mitral Valve Repairin Rheumatic Valves Experience in One Center

Outcome following valve surgery in Australia: development of an enhanced database module

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