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- W2069435140 abstract "Objective: We have been employed mitrla complex reconstruction (MCR) including ring annuloplasty, papillary muscle approximation, and suspension combined with/without overlapping ventriculoplasty to correct mitral leaflet tethering in patients with functional regurgitation (FMR). The purpose of this study was to elucidate the efficacy of MCR and left ventriculoplasty. Methods: The subjects were 72 patients with chronic FMR who underwent operation (32 with non-ischemic and 40 with ischemic dilated cardiomyopathy, exclusive of left ventricular aneurysm). The mean age was 61±11years. The mean NYHA functional class, FMR grade, LVDd, and LVEF were 3.4±0.6, 3.3±0.9, 71.0±7.7mm, and 23.7±7.1%. Overlapping ventriculoplasty without patch was employed in 54 cases (75%). Results: Follow-up period was 23.7±21.2months. 30-day mortality was 0%. 23 patients (32%) died during the follow-up. Postoperative MR grade was 0.5±0.7. MCR could correct mitral leaflet tethering effectively. The recurrence of MR>2+ was noted in 15% of patients. Only partial PMA through the aortic or mitral valve without ventriculoplasty was the significant predictor of MR recurrence (p=0.02). Conclusions: Our mitral complex reconstruction including valvular/subvalvular apparatus and left ventriculoplasty is fairly safe and effective even in the late period. Only partial PMA through the aortic or mitral valve was the significant predictor of MR recurrence." @default.
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- W2069435140 date "2010-09-01" @default.
- W2069435140 modified "2023-09-27" @default.
- W2069435140 title "Mitral Complex Reconstruction and Left Ventriculoplasty for Functional Mitral Regurgitation With Dilated Cardiomyopathy" @default.
- W2069435140 doi "https://doi.org/10.1016/j.cardfail.2010.07.034" @default.
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