title: Early and midterm outcomes of folding valvuloplasty without leaflet resection for myxomatous mitral valve disease.
abstract: We performed 46 cases of folding valvuloplasty without leaflet resection for myxomatous mitral regurgitation (MR) between August 2004 and December 2006. Operative mortality was zero. No patient had greater than grade 1 MR or systolic anterior motion on intraoperative transesophageal echocardiography. In median of 17 months' follow-up, no patient had a reoperation for recurrent MR. Among 31 patients who had an echocardiographic follow-up, 28 had zero or grade 1 MR, 3 had grade 2 MR, and no patient had grade 3/4 MR. Folding valvuloplasty is a simple and effective technique for selected types of myxomatous MR with favorable outcomes and midterm echocardiographic findings.
authors.affiliation: Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02446, USA.
authors.forename: Minoru
authors.initials: M
authors.lastname: Tabata
authors.forename: Ravi K
authors.initials: RK
authors.lastname: Ghanta
authors.forename: Prem S
authors.initials: PS
authors.lastname: Shekar
authors.forename: Lawrence H
authors.initials: LH
authors.lastname: Cohn
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods*; D015331:Cohort Studies; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome