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The Annals of Thoracic Surgery, Vol 55, 860-863, Copyright © 1993 by The Society of Thoracic Surgeons
ME Gorton, JM Piehler, DA Killen, ML Hoskins and AM Borkon
Initial experience with a new flexible and adjustable mitral annuloplasty
ring is described. Used in conjunction with standard techniques of mitral
valve repair, this ring was implanted in 21 consecutive patients undergoing
elective operation for mitral regurgitation. Satisfactory valve repair was
feasible in 20 of these patients. Once the ring was sewn in place,
adjustment of the ring to reduce or eliminate residual regurgitation was
beneficial in 9 patients. Excellent results were achieved as determined by
intraoperative transesophageal echocardiography. Comparable late results
were found in all but 1 patient up to 1 year after repair. This patient
required mitral valve replacement 6 months after repair due to failure of
papillary muscle reconstruction. The BiFlex ring has the merits of a
flexible prosthesis with the advantage of easy adjustment once secured in
place.
ARTICLES
Mitral valve repair using a flexible and adjustable annuloplasty ring
Mid America Heart Institute, St. Luke's Hospital, Kansas City, Missouri.
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