Long-term results of reconstructive surgery for acquired valve disease: evaluation of mitral and aortic valvuloplasty.
To evaluate the long-term results of reconstructive surgery for mitral and aortic valve diseases, 58 patients treated with mitral valvuloplasty (MVP) and 18 patients with aortic valvuloplasty (AVP) were considered. In the MVP group simple annuloplasty was performed in 16 cases, tape annuloplasty in 39 cases, and mitral valve extension with homopericardium in 3 cases. In the AVP group a combination of slicing, commissurotomy, and commissuroplasty was performed in 15 cases and aortic valve extension in three. There was one operative death in the AVP group, and one late death in the MVP group. The percentage of patients who had no complications related to reconstructive surgery after 17 years was 88% in the MVP group, and 81.7% in the AVP group. Only three patients in the MVP group, and one in the AVP group required reoperation after the reconstruction. Thus, reconstructive surgery should be utilized, whenever possible, in the treatment of valvular disease, even of the aortic valve.
Amano
J
J
Department of Cardiothoracic Surgery, Tokyo Medical and Dental University, Japan.
Suzuki
A
A
Sunamori
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation