[Repair of rheumatic mitral lesions by transfer of a segment of the posterior valve with its chordae onto the anterior valve].
Since 1981, 100 patients have undergone mitral valve repair alone or in association with aortic or tricuspid valve surgery. The basic technique used was that described by Carpentier. However, in 13 of these patients, the repair was performed by a technical innovation consisting in transferring a one to two centimetres segment of the posterior leaflet with its chordae to the anterior leaflet. The lesions in which this particular technique was required were extensive chordal rupture of the anterior leaflet (5 cases), localised retraction of the surface of the anterior leaflet (2 cases), and perforation near the valve free edge due to endocarditis (1 case). The valvular disease was due to rheumatic fever in all cases. None of the patients had active endocarditis. The age of the patients varied from 4 to 60 years. Eight patients were under 15 years of age. Postoperative echocardiography and pulsed Doppler studies showed results comparable to the other patients who had undergone mitral valve repair although the valvular lesions were more severe in this particular group of patients. Only one patient had a poor operative result and had to be reoperated.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002815:Chordae Tendineae / Q000601:surgery*; D005500:Follow-Up Studies; D006341:Heart Rupture / Q000150:complications / Q000601:surgery; D006349:Heart Valve Diseases / Q000209:etiology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D008945:Mitral Valve Prolapse / Q000601:surgery; D012214:Rheumatic Heart Disease / Q000601:surgery*
Réparation de lésions mitrales rhumatismales par transfert d'un segment de la valve postérieure avec ses cordages sur la valve antérieure.