Chirurgia ricostruttiva nell'insufficienza mitralica pura. Risultati operatori e follow-up in 128 pazienti.

Translated title of the contribution: Reconstructive surgery of pure mitral insufficiency. Operative results and follow-up in 128 patients

C. Fucci, A. Pardini, M. Zogno, L. Sandrelli, G. La Canna, M. Gargano, O. Alfieri, O. Visioli

Research output: Contribution to journalArticle

Abstract

Short and long-term results of valve repair for pure mitral insufficiency are reported in 128 consecutive patients with a mean age of 49 years (range 4-75). The etiology of the mitral valve dysfunction was degenerative in 54% of the cases, rheumatic in 30%, ischemic in 9.5%, endocarditic in 6.5%. Preoperatively, 91% of the patients were in NYHA class II or III. The anatomic lesions and the mechanism of mitral regurgitation were identified preoperatively by transthoracic and/or transesophageal echocardiography. Cardiac catheterization was performed only in patients with multiple valvular dysfunction and/or with evidence of concomitant coronary artery disease. Mitral repair was performed according to the techniques proposed by Carpentier. Only one patient died in the hospital (operative mortality: 0.8%). By actuarial methods, 96% of the patients were alive 4 years postoperatively, and 84% were reoperation free. Freedom from reoperation was significantly higher in patients who received a prosthetic ring than in those who had other types of anuloplasty (96% vs 67%; p <0.05). During the follow-up period no patient had thromboembolic episodes. Ninety-seven per cent of the 112 patients who survived the operation and were not reoperated were in NYHA class I or II. These results confirm the validity of reconstructive surgery in pure mitral insufficiency. The use of a prosthetic ring gives stability to the repair and improves long-term results.

Original languageItalian
Pages (from-to)1159-1166
Number of pages8
JournalGiornale Italiano di Cardiologia
Volume22
Issue number10
Publication statusPublished - Oct 1992

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Reconstructive Surgical Procedures
Mitral Valve Insufficiency
Reoperation
Transesophageal Echocardiography
Cardiac Catheterization
Hospital Mortality
Mitral Valve
Reproducibility of Results
Echocardiography
Coronary Artery Disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Fucci, C., Pardini, A., Zogno, M., Sandrelli, L., La Canna, G., Gargano, M., ... Visioli, O. (1992). Chirurgia ricostruttiva nell'insufficienza mitralica pura. Risultati operatori e follow-up in 128 pazienti. Giornale Italiano di Cardiologia, 22(10), 1159-1166.

Chirurgia ricostruttiva nell'insufficienza mitralica pura. Risultati operatori e follow-up in 128 pazienti. / Fucci, C.; Pardini, A.; Zogno, M.; Sandrelli, L.; La Canna, G.; Gargano, M.; Alfieri, O.; Visioli, O.

In: Giornale Italiano di Cardiologia, Vol. 22, No. 10, 10.1992, p. 1159-1166.

Research output: Contribution to journalArticle

Fucci, C, Pardini, A, Zogno, M, Sandrelli, L, La Canna, G, Gargano, M, Alfieri, O & Visioli, O 1992, 'Chirurgia ricostruttiva nell'insufficienza mitralica pura. Risultati operatori e follow-up in 128 pazienti.', Giornale Italiano di Cardiologia, vol. 22, no. 10, pp. 1159-1166.
Fucci C, Pardini A, Zogno M, Sandrelli L, La Canna G, Gargano M et al. Chirurgia ricostruttiva nell'insufficienza mitralica pura. Risultati operatori e follow-up in 128 pazienti. Giornale Italiano di Cardiologia. 1992 Oct;22(10):1159-1166.
Fucci, C. ; Pardini, A. ; Zogno, M. ; Sandrelli, L. ; La Canna, G. ; Gargano, M. ; Alfieri, O. ; Visioli, O. / Chirurgia ricostruttiva nell'insufficienza mitralica pura. Risultati operatori e follow-up in 128 pazienti. In: Giornale Italiano di Cardiologia. 1992 ; Vol. 22, No. 10. pp. 1159-1166.
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abstract = "Short and long-term results of valve repair for pure mitral insufficiency are reported in 128 consecutive patients with a mean age of 49 years (range 4-75). The etiology of the mitral valve dysfunction was degenerative in 54{\%} of the cases, rheumatic in 30{\%}, ischemic in 9.5{\%}, endocarditic in 6.5{\%}. Preoperatively, 91{\%} of the patients were in NYHA class II or III. The anatomic lesions and the mechanism of mitral regurgitation were identified preoperatively by transthoracic and/or transesophageal echocardiography. Cardiac catheterization was performed only in patients with multiple valvular dysfunction and/or with evidence of concomitant coronary artery disease. Mitral repair was performed according to the techniques proposed by Carpentier. Only one patient died in the hospital (operative mortality: 0.8{\%}). By actuarial methods, 96{\%} of the patients were alive 4 years postoperatively, and 84{\%} were reoperation free. Freedom from reoperation was significantly higher in patients who received a prosthetic ring than in those who had other types of anuloplasty (96{\%} vs 67{\%}; p <0.05). During the follow-up period no patient had thromboembolic episodes. Ninety-seven per cent of the 112 patients who survived the operation and were not reoperated were in NYHA class I or II. These results confirm the validity of reconstructive surgery in pure mitral insufficiency. The use of a prosthetic ring gives stability to the repair and improves long-term results.",
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