title: [Reoperation in mitral valve reconstructive surgery].
abstract: In the past few years reconstructive surgery of the mitral valve has experienced a growing popularity. It is now clearly established that restoration of a normal function valve is preferable to valve replacement. The authors report the results of the mitral valve reconstructive surgery in a population of 701 patients with high incidence of restrictive lesions of rheumatic fever. This represents an experience of 14 years. 5.1% of patients who underwent mitral valvuloplasty required late reoperation for recurrent mitral valve dysfunction. Repeat mitral valve repair resulted in successful treatment for 40% of these patients.
  
  
  CONCLUSIONS
  The mitral valve repair failure are: 1--Procedure related: (58.1%); a--surgical technical related--35.8%; b--no ring implantation (in restrictive lesions)--15%; c-rupture of previously chordae shortened--7.4%. 2--Valve related: (41.9%); a--progressive primary valve disease--(25.4%); b--wrong surgical indication--(15%); c--endocarditis--(1.5%).
authors.affiliation: Serviço de Cirurgia Cardio-Torácica do Hospital de Santa Maria.
authors.forename: J
authors.initials: J
authors.lastname: Cravino
authors.forename: A
authors.initials: A
authors.lastname: Nobre
authors.forename: Ricardo
authors.initials: R
authors.lastname: Arruda
authors.forename: A
authors.initials: A
authors.lastname: Lemos
authors.forename: Mário
authors.initials: M
authors.lastname: Mendes
authors.forename: Samuel
authors.initials: S
authors.lastname: Mendes
authors.forename: Javier
authors.initials: J
authors.lastname: Gallego
authors.forename: Fernanda
authors.initials: F
authors.lastname: Silva
authors.forename: L Castro
authors.initials: LC
authors.lastname: Guimarães
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D012086:Reoperation