[Fifty-three cases of valve repair for mitral insufficiency].
OBJECTIVE
To summarize the experience of mitral vavuloplasty for mitral insufficiency in 53 patients.


METHODS
Between January 2001 and September 2006,53 patients (31 males and 22 females) with mitral insufficiency underwent mitral valve repair at our hospital. The mean age was (23.8+/-10.4) years, and the mean weight was (43+/-12) kg,including 29 cases of mitral prolapse,17 congenital mitral insufficiency, 5 rheumatic mitral insufficiency,and 2 other etiology. All operations were performed under cardiopulmonary bypass,moderate hypothermia and under the surveillance of transesophagus echocardiography.


RESULTS
There were 2 early postoperative deaths,and another patient failed to repair and received valve replacement afterward. Postoperative echocardiography indicated that mitral insufficiency was completely corrected in 42 patients, and residual mitral regurginitation in the other 8 patients. During the follow-up with mean period 13.8 months,41 patients revealed 28 in NYHA classI,13 in Class II.


CONCLUSIONS
Mitral valve repair should be the preferred modes of surgical correction for regurgitate mitral valves. With proper vavuloplasty technique, patients with selective mitral insufficiency patients may achieve satisfactory effect.
Chen
Ri
R
Department of Cardiothoracic Surgery, Xiangya Hospital,Central South University, Changsha, China. chenri5424@yahoo.com.cn
Chen
Sheng-xi
SX
Luo
Wan-jun
WJ
Yuan
Ming-dao
MD
Jiang
Hai-he
HH
Lin
Guo-qiang
GQ
D000293:Adolescent; D000328:Adult; D002315:Cardiopulmonary Bypass; D002648:Child; D002675:Child, Preschool; D018618:Echocardiography, Doppler, Color; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000150:complications / Q000601:surgery*