[Surgical treatment for mitral valve prolapse].
OBJECTIVE
To determine the excellent operative procedure to treat mitral valve prolapse (MVP).


METHODS
Fifty seven patients with MVP were divided into three groups: Group I received traditional chordal reconstruction; Group II underwent chordal replacement using expanded polytetrafluorethylene(e-PTFE) sutures and artificial ring valvuloplasty reconstruction; Group III submitted mitral valve replacement.


RESULTS
Mitral regurgitation volume was reduced significantly in Group II [(1.3 +/- 3.8) ml] and Group III [(1.2 +/- 3.4) ml] than that in Group I [(4.7 +/- 7.7) ml] (P < 0.05).


CONCLUSIONS
The utilization of e-PTFE sutures as artificial chordae and artificial ring valvuloplasty for MVP is a more reliable and safe procedure than traditional mitral valve reconstruction, and can avoid the complications of long term anticoagulant therapy after mechanical valve replacement.
Zhang
D C
DC
Department of Thoracic and Cardiovascular Surgery, Second Affiliated Hospital, Hunan Medical University, Changsha 410011.
Gong
G F
GF
Hu
J G
JG
D000293:Adolescent; D000328:Adult; D002404:Catheterization / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008945:Mitral Valve Prolapse / Q000601:surgery* / Q000628:therapy