Abstract:
PURPOSE:To define the outcomes of our original simple chordal replacement technique using ePTFE sutures for mitral regurgitation. METHODS:Between January, 2004 and March, 2014, 38 patients underwent mitral valve repair using our chordal replacement technique for anterior leaflet prolapse. The mitral regurgitation was caused by degenerative disease in 34 patients and infective endocarditis in 4 patients. RESULTS:The follow-up period was 66 ± 37 months and the 5-year survival rate was 95 ± 4%. Two patients had recurrent mitral regurgitation, caused by degenerative change not associated with the procedure. The 5-year rate of freedom from recurrent mitral regurgitation was 94 ± 4%. In the late postoperative period, 15 (42%) patients had a mean pressure gradient > 5 mmHg. Stepwise logistic regression analysis showed that the use of a full ring (odds ratio 8.9; 95% confidence interval 1.2-64; p = 0.031) and a 26 mm annuloplasty (odds ratio 7.5; 95% confidence interval 1.1-50; p = 0.037) were significant independent risk factors for a mean pressure gradient > 5 mmHg. CONCLUSION:The intermediate-term outcomes of our original chordal replacement technique were not inferior to those in previous reports, although a 26 mm annuloplasty was found to be associated with a higher mitral valve gradient at rest.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Maeda S,Funatsu T,Kondoh H,Shibukawa T,Yokota T,Kainuma S,Toda K,Sawa Y,Taniguchi Kdoi
10.1007/s00595-018-1745-5subject
Has Abstractpub_date
2019-04-01 00:00:00pages
350-356issue
4eissn
0941-1291issn
1436-2813pii
10.1007/s00595-018-1745-5journal_volume
49pub_type
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