title: Mitral valve repair with the new semirigid partial Colvin-Galloway Future annuloplasty band.
abstract: OBJECTIVE
  Various devices have been proposed for ring stabilization in patients with mitral valve disease. This study reports the intermediate-term results of mitral valve repair with a new semirigid partial annuloplasty ring in a large series of patients.
  
  
  METHODS
  A total of 437 consecutive patients were analyzed who underwent mitral valve reconstruction with annuloplasty using the Colvin-Galloway Future band at the German Heart Center in Munich between 2001 and 2005. A total of 237 patients (54.2%) underwent isolated mitral valve repair, and 200 patients (45.8%) underwent a combined procedure. The follow-up is 97% complete (mean follow-up of 405 survivors 2.1 +/- 1.1 years).
  
  
  RESULTS
  Overall 30-day mortality was 2.7%. Twenty patients (4.6%) died later after an average of 1.1 +/- 1.1 years. Actuarial survival at 4 years after isolated mitral valve reconstruction and combined procedures was 91% +/- 4% and 87% +/- 2.5%, respectively (P < .001). Twelve patients (2.7%) required a mitral valve reoperation after an average of 4.5 +/- 4.3 months. Five of these reoperations were required for band dehiscence, and 1 reoperation was required for band fracture. Freedom from reoperation at 4 years was 97% +/- 0.9%. At the latest follow-up, 93.5% of the patients showed trivial or mild mitral valve regurgitation, and 86.4% of the patients showed New York Heart Association functional class I or II.
  
  
  CONCLUSIONS
  Mitral valve annuloplasty with the Colvin-Galloway Future band can be performed with a low early and late mortality and an excellent functional outcome. The low incidence of reoperation demonstrates that the Colvin-Galloway Future band is a safe and effective device. The importance of secure anchoring of the device in the mitral annulus has to be emphasized to prevent band dehiscence.
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich, Clinic at the Technical University, Munich, Germany.
authors.forename: Ruediger
authors.initials: R
authors.lastname: Lange
authors.forename: Thomas
authors.initials: T
authors.lastname: Guenther
authors.forename: Birgit
authors.initials: B
authors.lastname: Kiefer
authors.forename: Christian
authors.initials: C
authors.lastname: Noebauer
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Goetz
authors.forename: Raymonde
authors.initials: R
authors.lastname: Busch
authors.forename: Peter
authors.initials: P
authors.lastname: Tassani-Prell
authors.forename: Bernhard
authors.initials: B
authors.lastname: Voss
authors.forename: Robert
authors.initials: R
authors.lastname: Bauernschmitt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*