ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Stefano Moriggia
Pino Fundaro
Carmine Santoli
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Scrofani, R.
Right arrow Articles by Santoli, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Scrofani, R.
Right arrow Articles by Santoli, C.

Ann Thorac Surg 1996;61:895-899
© 1996 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Mitral Valve Remodeling: Long-Term Results With Posterior Pericardial Annuloplasty

Roberto Scrofani, MD, Stefano Moriggia, MD, Maurizio Salati, MD, Pino Fundaro, MD, Paolo Danna, MD, Carmine Santoli, MD

Divisions of Thoracic and Cardiovascular Surgery and Cardiology, Ospedale ``L. Sacco,'' Milan, Italy

Accepted for publication November 19, 1995.

Background. We studied the long-term results of a technique of mitral annuloplasty using autologous pericardium.

Methods. Between June 1989 and December 1994, 113 mitral valvuloplasties were performed for myxomatous degenerative disease. Repair of isolated anterior leaflet prolapse was performed in 26 patients (23%), posterior leaflet prolapse in 38 (33.6%), and prolapse of both leaflets in 49 (43.4%). Posterior pericardial annuloplasty was performed in all patients. In 20 patients, the pericardial graft was marked with metal clips for postoperative cinefluoroscopic assessment of annulus motion.

Results. The operative mortality rate was 2.7% (3/113). One patient died of a myocardial infarction and 2 of low cardiac output syndrome. One patient required replacement of the mitral valve 2 days after operation because of dehiscence of the annular plication. Follow-up (average length, 32.41 ± 20.09 months; range, 1 to 71 months) was 97% complete and revealed good clinical and functional results: 95 patients (84.1%) were in New York Heart Association class I and had no regurgitation or only mild residual regurgitation. Postoperative transmitral flow indices were almost normal (mitral valve area = 3.7 ± 0.4 cm2; peak flow velocity = 1.06 ± 0.2 m/s). Only 3 patients had reoperation within 3 years (actuarial 5-year reoperation-free rate, 89.7%) and event-free survival at 5 years was 91%. In patients with metal clips marking autologous pericardium, planimetry of the area derived by fluoroscopic examination showed systolic narrowing of annulus size (8.5% ± 6.4%; p < 0.01) and a slight systolic fall in the anteroposterior diameter of the annulus contour (5.9% ± 3.8%; p < 0.01).

Conclusions. Posterior pericardial annuloplasty seems to be a safe, effective, and easily performed technique and a more physiologic correction that preserves mitral annulus motion.




This article has been cited by other articles:


Home page
 Asian Cardiovasc. Thorac. Ann.Home page
P. Fundaro, P. M Tartara, E. Villa, P. Fratto, S. Campisi, and E. O Vitali
Mitral Valve Repair: Is There Still a Place for Suture Annuloplasty?
Asian Cardiovasc Thorac Ann, August 1, 2007; 15(4): 351 - 358.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. Maisano, A. Blasio, A. Caldarola, C. Savini, and O. Alfieri
A Method to Avoid Annular Downsizing During Knot Tying
Ann. Thorac. Surg., October 1, 2004; 78(4): 1484 - 1485.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
F. A. Tibayan, F. Rodriguez, D. Liang, G. T. Daughters, N. B. Ingels Jr, and D. C. Miller
Paneth Suture Annuloplasty Abolishes Acute Ischemic Mitral Regurgitation but Preserves Annular and Leaflet Dynamics
Circulation, September 9, 2003; 108(90101): II-128 - 133.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. M. Calafiore, M. Di Mauro, S. Gallina, C. Canosa, and A. L. Iaco
Optimal length of pericardial strip for posterior mitral overreductive annuloplasty
Ann. Thorac. Surg., June 1, 2003; 75(6): 1982 - 1984.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
S. Bevilacqua, A. G. Cerillo, J. Gianetti, U. Paradossi, M. Mariani, S. Matteucci, E. Kallushi, and M. Glauber
Mitral valve repair for degenerative disease: is pericardial posterior annuloplasty a durable option?
Eur. J. Cardiothorac. Surg., April 1, 2003; 23(4): 552 - 559.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. Dagum, T. Timek, G. R. Green, G. T. Daughters, D. Liang, N. B. Ingels Jr, and D. C. Miller
Three-dimensional geometric comparison of partial and complete flexible mitral annuloplasty rings
J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 665 - 673.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. A. Timek and D. C. Miller
Experimental and clinical assessment of mitral annular area and dynamics: what are we actually measuring?
Ann. Thorac. Surg., September 1, 2001; 72(3): 966 - 974.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. M. Jones and M. A.I. Sarsam
Partial mitral valve replacement for acute endocarditis
Ann. Thorac. Surg., July 1, 2001; 72(1): 255 - 257.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
T. Chotivatanapong, C. Kasemsarn, V. Sungkahapong, P. Chaiseri, C. Yosthasurodom, and S. Cholitkul
Mitral Valve Repair With Autologous Pericardial Ring
Asian Cardiovasc Thorac Ann, March 1, 2001; 9(1): 10 - 13.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
V. Borghetti, M. Campana, C. Scotti, D. Domenighini, P. Totaro, G. Coletti, M. Pagani, and R. Lorusso
Biological versus prosthetic ring in mitral-valve repair: enhancement of mitral annulus dynamics and left-ventricular function with pericardial annuloplasty at long term
Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 431 - 439.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. R. Green, P. Dagum, J. R. Glasson, J. F. Nistal, G. T. Daughters II, N. B. Ingels Jr, and D. C. Miller
Restricted posterior leaflet motion after mitral ring annuloplasty
Ann. Thorac. Surg., December 1, 1999; 68(6): 2100 - 2106.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. Scrofani
Cinefluoroscopic assessment of human mitral anulus after mitral valvuloplasty
J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1154 - 1155.
[Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. C. Miller
Cinefluoroscopic assessment of human mitral anulus after mitral valvuloplasty
J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1155 - 1156.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
L. F. Camilleri, B. Miguel, P. Bailly, B. J. Legault, M.-C. D'Agrosa-Boiteux, G. L. Polvani, and C. M. de Riberolles
Flexible posterior mitral annuloplasty: five-year clinical and Doppler echocardiographic results
Ann. Thorac. Surg., November 1, 1998; 66(5): 1692 - 1697.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. M. Alvarez
The role of annuloplasty in mitral valve repair
J. Thorac. Cardiovasc. Surg., May 1, 1997; 113(5): 957 - 958.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
R. Scrofani, M. Salati, P. Di Biasi, and C. Santoli
The Role of Autologous Pericardium in Cardiac Surgery
Ann. Thorac. Surg., January 1, 1997; 63(1): 291 - 291.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.