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The Annals of Thoracic Surgery, Vol 47, 524-527, Copyright © 1989 by The Society of Thoracic Surgeons
TE David, M Komeda, C Pollick and RJ Burns
This study was undertaken to determine whether rigid-ring annuloplasty and
flexible-ring annuloplasty have the same effect on left ventricular
function in patients with chronic mitral regurgitation secondary to
degenerative disease of the mitral valve. Twenty-five patients who
underwent isolated mitral valve repair and required annuloplasty were
randomized into two groups: rigid-ring and flexible-ring annuloplasty. Left
ventricular function was assessed by echocardiography and radionuclide
angiography on the day before operation and 2 to 3 months later.
Preoperative left ventricular function was similar in the two groups of
patients. Postoperatively, left ventricular end-diastolic diameter and
volume decreased significantly in both groups. The left ventricular
end-systolic diameter and volume decreased significantly only in patients
with a flexible annuloplasty ring. Left ventricular systolic function as
assessed by pressure-volume relationships was significantly better in
patients with a flexible ring (p less than 0.02 by analysis of covariance),
and left ventricular performance measured by stroke volume-end-diastolic
volume relationships was also better in these patients (p less than 0.05 by
analysis of covariance). These data indicate that patients with a flexible
annuloplasty ring have better left ventricular systolic function than
patients with a rigid annuloplasty ring 2 to 3 months after mitral valve
reconstruction for chronic mitral regurgitation secondary to degenerative
disease of the mitral valve.
ARTICLES
Mitral valve annuloplasty: the effect of the type on left ventricular function
Division of Cardiovascular Surgery, Toronto Western Hospital, Ontario, Canada.
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L. H. Cohn, G. S. Couper, S. F. Aranki, R. J. Rizzo, N. M. Kinchla, and J. J. Collins Jr. Long-term results of mitral valve reconstruction for regurgitation of the myxomatous mitral valve J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 143 - 151. [Abstract] [Full Text]
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