Annuloplasty ring dehiscence after mitral valve repair: incidence, localization and reoperation.

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Thilo NoackMichael Andrew Borger

Abstract

Mitral valve (MV) annuloplasty ring dehiscence with subsequent recurrent mitral regurgitation represents an unusual but challenging clinical problem. Incidence, localization and outcomes for this complication have not been well defined. From 1996 to 2016, a total of 3478 patients underwent isolated MV repair with ring annuloplasty at the Leipzig Heart Centre. Of these patients, 57 (1.6%) underwent reoperation due to annuloplasty ring dehiscence. Echocardiographic data, operative and early postoperative characteristics as well as short- and long-term survival rates after MV reoperation were analysed. Occurrences of ring dehiscence were acute (<30 days), early (≤1 year) and late (>1 year) in 44%, 33% and 23% of patients, respectively. Localization of annuloplasty ring dehiscence was found most frequently in the P3 segment (68%), followed by the P2 (51%) and the P1 segments (47%). The 30-day mortality rate and 1- and 5-year survival rates after MV reoperation were 2%, 89% and 74%, respectively. During reoperation, MV replacement was performed in 38 (67%) and MV re-repair in 19 (33%) patients. Annuloplasty ring dehiscence is clinically less common, localized more frequently on the posterior annulus and occurs mostly acutely or earl...Continue Reading

References

Jan 1, 1993·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·U NiederhäuserM Turina
Mar 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·A M GillinovF D Loop
Jul 24, 2007·The Annals of Thoracic Surgery·Eric DumontBruce W Lytle
Jul 1, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joerg SeeburgerFriedrich Wilhelm Mohr
Aug 12, 2008·The Journal of Thoracic and Cardiovascular Surgery·W Randolph ChitwoodL Wiley Nifong
Oct 17, 2009·Journal of the American College of Cardiology·Wendy TsangHoward Leong-Poi
Jul 28, 2012·The Annals of Thoracic Surgery·Joerg SeeburgerMartin Misfeld
Sep 22, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Mandisa-Maia Jones-HaywoodDeepak K Tempe
Nov 1, 2012·The Journal of Thoracic and Cardiovascular Surgery·Andrew W SiefertAjit P Yoganathan
Sep 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Morten O JensenSten L Nielsen
Dec 12, 2013·Journal of Biomechanics·Gillian M Gunning, Bruce P Murphy
May 3, 2016·The Annals of Thoracic Surgery·Eric L PierceAjit P Yoganathan
Nov 16, 2016·The Journal of Thoracic and Cardiovascular Surgery·John R SprattGerald M Lawrie
Sep 10, 2017·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Scientific Document Group
Sep 28, 2017·The Journal of Thoracic and Cardiovascular Surgery·John W MacArthur, Jack Boyd
Apr 7, 2018·JACC. Cardiovascular Imaging·Abdallah El SabbaghRick A Nishimura

❮ Previous
Next ❯

Citations

Sep 3, 2021·Seminars in Cardiothoracic and Vascular Anesthesia·Jose Liza ReshmiAveek Jayant

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved