Posteromedial annuloplasty for acquired mitral insufficiency: Methods and results

Steinmetz, George P.; Anderson, Arthur M.; Cobb, Leonard A.; Bruce, Robert A.; Merendino, K. Alvin

doi:10.1016/s0033-0620(62)80034-6

Cited by 16 publications

(2 citation statements)

References 45 publications

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“…Effler (5) considered the mitral repair to be an unjustifiable procedure because of frequent recurrence of mitral regurgitation. However, satisfactory long term clinical results up to 12 years following mitral valve repair have been reported by several authors (1,2,3,4,10,11,12,15,16,18,21,23,24,25,27,28,29). Clinical improvement maintained for a period of up to 14 years has already been reported from this institution (22).…”

Section: Discussionmentioning

confidence: 51%

“…The presence of both mitral systolic and diastolic murmurs is, therefore, not unexpected even after an apparently successful mitral annuloplasty with no subsequent technical failure. However, progression of the mitral valve disease appears to be slow (11), and the presence of a mitral systolic murmur after annuloplasty is not inconsistent with the maintenance of excellent functional results over extended periods of time (1,2,15,22,23,29).…”

Section: Discussionmentioning

confidence: 99%

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Mitral Annuloplasty – A Long Term Clinical and Haemodynamic Study

Ap¹,

Li²,

Dr³

et al. 1979

Thorac cardiovasc Surg

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One hundred and thirteen hospital survivors with mitral annuloplasty have been followed-up from 3--19 years. Actuarially 82.4 +/- 12.1% and 65.1 +/- 18.1% of all patients are expected to be alive at 10 and 19 years respectively. 90.1 +/- 5.9% of patients were predicted to be free from reoperation at 5 years postop, while at 10 and 15 years the figures are 77.2 +/- 13.9% and 53.8 +/- 23.9% respectively. Postoperative haemodynamic investigations, performed in 18 patients at a mean duration of 8.5 (range 4--11) years, showed significant reduction in both mean pulmonary artery and wedge pressures as compared to pre-operative values. 92% of patients were in grade I and II (NYHA) clinically at the latest evaluation as compared to 84% being in grade III and IV pre-operatively. Mitral annuloplasty provides statisfactory long term clinical and haemodynamic improvement in a selected group of patients and should always be considered in the management of mitral regurgitation.

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