title: [Mitral valve repair for mitral regurgitation].
abstract: We analyzed the results of mitral valve repair in 81 consecutive patients with severe mitral regurgitation. Of these patients, 66.6% had myxomatous degeneration, 11% ischemic disease, 8% chordal rupture, 5% congenital disease, and 3.7% endocarditis. Repair could not be achieved in five patients, and valve replacement was necessary. Six died during surgery (mortality 7%). During follow-up (mean 30 [8] months), there was one death due to refractory ischemic heart failure and mitral regurgitation (>or= 2/4) was observed in 11 patients. A good result (i.e., survival without a prosthesis, major complications, or mitral regurgitation >1/4) was obtained in 78% of patients with myxomatous degeneration versus 48% of those with other etiologies (P=.023). A good result was obtained more frequently in cases of isolated posterior cusp degeneration than in those involving degeneration of both cusps (85% vs 70%; P=.03).
authors.affiliation: Servicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada, España. eduroc@telefonica.net
authors.forename: Rocío
authors.initials: R
authors.lastname: García-Orta
authors.forename: Eduardo
authors.initials: E
authors.lastname: Moreno-Escobar
authors.forename: María F
authors.initials: MF
authors.lastname: Ruiz-López
authors.forename: Matilde
authors.initials: M
authors.lastname: Vidal-Alarcón
authors.forename: Juan
authors.initials: J
authors.lastname: Lara-Torrano
authors.forename: José
authors.initials: J
authors.lastname: Azpitarte
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011446:Prospective Studies