title: Five-year experience with a suture annuloplasty for mitral valve repair.
abstract: We present five years' experience with mitral plication annuloplasty, performed with a semicircular buttressed suture around the posterior leaflet in 130 patients (mean age 58 +/- 11 years) with primary mitral valve disease (n = 71) or functional mitral regurgitation (n = 59). In 65 cases the mitral valve itself was also repaired. Concomitant myocardial revascularization was performed in 40 cases and aortic valve replacement in 43. All but three patients were followed up (97.6%). Postoperative echocardiography showed acceptable mitral area (2.28 +/- 0.39 cm2) and good valve competence in all cases. Inhospital mortality was 3% and late mortality 4.8%. During the follow-up period (22.8 +/- 10.9 months) 8 patients (6.6%) required mitral valve replacement because of progression of native valve disease (n = 4), technical failure (2) or expansion of the annuloplasty suture (2). Mitral annuloplasty thus can be performed simply and with good results, using a strong, non-stretchable buttressed suture. This procedure can be an inexpensive alternative to ring implantation.
authors.affiliation: Department of Cardiac Surgery, Medical School of Debrecen, Hungary.
authors.forename: Z L
authors.initials: ZL
authors.lastname: Nagy
authors.forename: A
authors.initials: A
authors.lastname: Bodi
authors.forename: M
authors.initials: M
authors.lastname: Vaszily
authors.forename: T
authors.initials: T
authors.lastname: Szerafin
authors.forename: A
authors.initials: A
authors.lastname: Horvath
authors.forename: A
authors.initials: A
authors.lastname: Peterffy
mesh_terms: D000368:Aged; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome