Valve repair with Carpentier techniques

Deloche, A; Jebara, Victor A.; Relland, J.; Chauvaud, Sylvain; Fabiani, Jean‐Noël; Perier, Patrick; Dreyfus, Gilles; Mihǎileanu, Serban; Carpentier, Alain

doi:10.1016/s0022-5223(20)31455-0

Cited by 279 publications

(86 citation statements)

References 16 publications

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“…18 Furthermore, mitral valve repair in these patients has its greatest durability. Deloche and colleagues 19 found that the 15-year freedom from reoperation after mitral valve repair was 93% in patients with degenerative disease; this is similar to our results. The second most common cause of MR was rheumatic disease.…”

Section: Surgery For Acquired Cardiovascular Diseasesupporting

confidence: 91%

Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: A prospective and randomized study

Chang

Youn

et al. 2007

The Journal of Thoracic and Cardiovascular Surgery

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Mitral valvuloplasty favors the excellent surgical and long-term results in our prospective randomized study, regardless of the type of annuloplasty ring. There was no difference between the rigid and flexible rings in terms of left ventricular systolic function measured with echocardiography. It seems that timing of the operation before significant tricuspid regurgitation and precise mitral valve repair might prevent late recurrence of mitral regurgitation.

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Section: Surgery For Acquired Cardiovascular Diseasesupporting

confidence: 91%

Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: A prospective and randomized study

Chang

Youn

et al. 2007

The Journal of Thoracic and Cardiovascular Surgery

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“…The data were collected from institutional medical charts and R econstructive mitral valve (MV) repair for type II MV regurgitation (MR) is currently a standardized procedure with an excellent long-term outcome. 1,2 This technique has become the treatment of choice for MR. In the past 2 decades, less invasive procedures have been developed in cardiac surgery.…”

Section: Patientsmentioning

confidence: 99%

Benefit and Risk of Minimally Invasive Mitral Valve Repair for Type II Dysfunction　― Propensity Score-Matched Comparison ―

Kawamoto

Fukushima

Shimahara

et al. 2018

Circ J

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Background: Despite the cosmetic benefits of the minimally invasive approach for mitral disease, the clinical benefit and risk are not fully known. We investigated the benefit and risk of minimally invasive mitral valve (MV) repair for type II dysfunction using propensity score-matched analysis. Methods and Results: Since 2001, 602 patients have undergone MV repair for type II dysfunction (464 with conventional median sternotomy and 138 with the minimally invasive approach). One-to-one matched analysis using the estimated propensity score based on 23 factors resulted in 93 well-matched patient pairs. There was no in-hospital death in both groups. The operation time was significantly shorter (P=0.002), blood transfusion was less frequent (P=0.04), extubation at the day of surgery was more frequently performed (P=0.017), and the length of hospital stay was significantly shorter in the minimally invasive group than in the sternotomy group (P<0.0001). On postoperative (P=0.02) and 1-year echocardiography (P=0.04), ejection fraction was lower in the minimally invasive group than in the sternotomy group. There were no significant differences in postoperative cerebral infarction, aortic dissection, deep sternal infection, or mid-term outcome between the groups. Conclusions: Standard sternotomy and the minimally invasive approach provide similar good quality of MV repair for type II dysfunction. The minimally invasive approach is more likely to contribute to fast-track perioperative treatment than the standard sternotomy approach.

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“…The procedure is also associated to low operative mortality and excellent early and late survival rates 18 . One study, for instance, showed 71 ± 3% survival at 15 years among 113 patients, treated between 1972 and 1979 3 . In the present study, the number of deaths was significantly decreased in the immediate (1 case) and late (7 cases) postoperative periods.…”

Section: Discussionmentioning

confidence: 99%

“…Valve repair has become the procedure of choice for mitral disease over the past decades. With the development of technical improvements, around 90% of degenerative mitral valves can be repaired 1,2 . Many reports have shown that mitral valve repair is preferable to valve replacement [1][2][3][4] . Lower operative mortality, better maintenance of left ventricular function and improved survival are reported.…”

Section: Introductionmentioning

confidence: 99%

“…Lower operative mortality, better maintenance of left ventricular function and improved survival are reported. Although the procedure may result in a higher frequency of reoperation, the frequency of thromboembolic events and hemorrhages related to the use of anticoagulants and episodes of infectious endocarditis is lower after valve repair than after valve replacement 3,[5][6][7] . Improvement of surgical techniques for mitral valve repair imperfections, is better than mitral prostheses.…”

Section: Introductionmentioning

confidence: 99%

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Valvoplastia sem suporte para insuficiência mitral degenerativa: resultados a longo prazo

Balbinot¹,

Kalil²,

Prates³

et al. 2008

Arq. Bras. Cardiol.

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Valve repair with Carpentier techniques

Cited by 279 publications

References 16 publications

Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: A prospective and randomized study

Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: A prospective and randomized study

Benefit and Risk of Minimally Invasive Mitral Valve Repair for Type II Dysfunction　― Propensity Score-Matched Comparison ―

Valvoplastia sem suporte para insuficiência mitral degenerativa: resultados a longo prazo

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Valve repair with Carpentier techniques

Cited by 279 publications

References 16 publications

Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: A prospective and randomized study

Long-term clinical results of mitral valvuloplasty using flexible and rigid rings: A prospective and randomized study

Benefit and Risk of Minimally Invasive Mitral Valve Repair for Type II Dysfunction ― Propensity Score-Matched Comparison ―

Valvoplastia sem suporte para insuficiência mitral degenerativa: resultados a longo prazo

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Benefit and Risk of Minimally Invasive Mitral Valve Repair for Type II Dysfunction　― Propensity Score-Matched Comparison ―