Mitral valve repair by Carpentier-Edwards Physio annuloplasty ring

Kurosawa, Hiromi; Nakano, M; Kawase, M; Kasegawa, Hitoshi; Nakano, Kiyoharu; Eishi, Kiyoyuki

doi:10.1007/bf03218026

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Carpentier and colleagues 5 published their results in 1995, showing that in 137 patients followed up for 18 months, only 6.8% had residual mild MR and none required re-operation. Kurosawa and colleagues 8 also had excellent results in a series of 30 patients, with none requiring redo surgery and only 3.4% with residual MR at 6 months. Sousa and colleagues 7 found that 2 of 100 patients required re-operation for systemic anterior motion following mitral annuloplasty, and 15 had mild residual MR at 19 months.…”

Section: Discussionmentioning

confidence: 86%

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Mitral Valve Annuloplasty with Carpentier-Edwards Physio Ring: Mid-term Results

Chan

Chiu

Cheng

et al. 2006

Asian Cardiovasc Thorac Ann

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The mid-term results of mitral valve repair with the Carpentier-Edwards Physio annuloplasty ring were assessed in 97 consecutive patients in a single tertiary-referral cardiothoracic surgical center. The mean follow-up time was 3.9 years (range, 1 month to 8.9 years). Most patients were in functional class II and III before the operation. Ejection fraction was < 40% in 8 patients. Causes of mitral regurgitation included degenerative disease (66%), infective endocarditis (13.4%), rheumatic disease (10.3%), and ischemic heart disease (9.3%). Thirty-day mortality was 2.1%. Actuarial survival and freedom from re-operation at 8 years were 91% and 90.8%, respectively. The only significant risk factor for re-operation was residual mitral regurgitation. Four patients suffered thromboembolic complications, giving an overall event-free survival of 93% +/- 3.7% during the follow-up period. The Carpentier-Edwards Physio ring provides safe and effective repair of mitral regurgitation on mid-term follow-up.

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Section: Discussionmentioning

confidence: 86%

“…5 Although previous studies have demonstrated the feasibility and effi ciency of repair with the Physio ring, only a few have reported mid-and long-term results. [6][7][8] The aim of this study was to evaluate the mid-term results of annuloplasty with this ring.…”

Section: Introductionmentioning

confidence: 99%

Mitral Valve Annuloplasty with Carpentier-Edwards Physio Ring: Mid-term Results

Chan

Chiu

Cheng

et al. 2006

Asian Cardiovasc Thorac Ann

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“…Kurosawa et al reported short-term outcomes with a low in-hospital mortality (3.3%). 16 The higher mortality rate could be due to different inclusion criteria, which allowed further concomitant procedures (e.g., bypass surgery). They reported a MVA of 2.61 AE 0.82 cm 2 , which is slightly smaller than in our series; this could be attributed to the more round form of the CE Physio II Ring.…”

Section: Prior Studiesmentioning

confidence: 99%

Clinical Outcomes after Mitral Valve Repair with the Physio II Annuloplasty Ring

Noack

Sieg

Marín-Cuartas

et al. 2021

Thorac Cardiovasc Surg

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Background Mitral valve (MV) repair with annuloplasty is the standard of care in patients with primary degenerative mitral regurgitation (DMR). Newer generations of annuloplasty rings have been developed with the goals of closer reproduction of native annular geometry and easier implantation. This study investigates the short-term and 5-year clinical outcomes of MV repair with the Carpentier-Edwards (CE) Physio II annuloplasty ring. Methods This is an observational study including a total of 486 patients who underwent MV repair for DMR using the CE Physio II annuloplasty ring between 2011 and 2016. Results Mean age was 54.8 ± 12.1 years, 364 patients (74.9%) were males, and 84 patients (17.3%) presented with atrial fibrillation. Mean left ventricular ejection fraction was 62.3 ± 7.3%. Mean logistic EuroSCORE was 2.7 ± 2.4%. New York Heart Association functional class III–IV symptoms were present in 134 (27.6%) patients preoperatively. Isolated MV repair was performed via a right-sided mini-thoracotomy in 479 patients (98.6%). Concomitant procedures included ablation for atrial fibrillation in 83 patients (17.1%) and closure of atrial septum defect in 88 patients (18.1%). Median size of implanted annuloplasty rings was 34 mm (interquartile range: 34–38 mm). Mean cardiopulmonary bypass time was 116 ± 34 minutes and mean cross-clamp time was 74 ± 25 minutes. Thirty-day mortality was 0.4%. The Kaplan–Meier 4-year survival was 98.5%. Freedom from MV reoperation was 96.2 and 94.0% at 1 and 4 years. Conclusion MV repair with the CE Physio II annuloplasty ring is associated with excellent midterm clinical outcome.

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“…Among the techniques used in MV repair, ring annuloplasty has been proposed as a method to reshape the mitral annulus and reduce MR recurrence [5]. However, a consensus has not yet been reached regarding the best choice of annuloplasty, specifically between complete rings and partial bands, and the selection of semi-rigid or rigid materials [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

The Predictors and Outcomes of Functional Mitral Stenosis following Surgical Mitral Valve Repair: A Retrospective Analysis

Hu,

Lee,

Tsai

et al. 2023

JCDD

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To optimize mitral valve repair outcomes, it is crucial to comprehend the predictors of functional mitral valve stenosis (FMS), to enhance preoperative assessments, and to adapt intraoperative treatment strategies. This study aimed to identify FMS risk factors, contributing valuable insights for refining surgical techniques. Among 228 selected patients, 215 underwent postoperative echocardiography follow-ups, and 36 met the FMS criteria based on a mean trans-mitral pressure gradient of >5 mmHg. Patients with FMS exhibited higher pulmonary systolic arterial pressure and increased late mortality during the follow-up. Univariable logistic regression analysis identified several risk factors for FMS, including end-stage renal disease, anterior leaflet lesion, concomitant aortic valve replacement, smaller ring size, ring type, and neochordae implantation. Conversely, resection alone and resection combined with neochordae implantation had protective effects against FMS. Multivariable logistic regression analysis revealed that smaller ring sizes and patch repair independently predicted FMS. When focusing on degenerative mitral regurgitation, the neochordae implantation without resection in leaflet repair, emerged as an independent predictor of FMS. Surgeons should weigh the substantial impact of surgical procedures on postoperative trans-mitral pressure gradients, emphasizing preoperative evaluation and techniques such as precise ring size assessment and effective leaflet management.

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Mitral valve repair by Carpentier-Edwards Physio annuloplasty ring

Cited by 7 publications

References 11 publications

Mitral Valve Annuloplasty with Carpentier-Edwards Physio Ring: Mid-term Results

Mitral Valve Annuloplasty with Carpentier-Edwards Physio Ring: Mid-term Results

Clinical Outcomes after Mitral Valve Repair with the Physio II Annuloplasty Ring

The Predictors and Outcomes of Functional Mitral Stenosis following Surgical Mitral Valve Repair: A Retrospective Analysis

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