Ten-year results of folding plasty in mitral valve repair

The Annals of Thoracic Surgery
Charles F SchwartzA C Galloway

Abstract

Folding plasty (FP) for posterior mitral leaflet repair (PLR) is a technique that reduces the height of the repaired leaflet, closes the gap created by leaflet resection by rotation of residual leaflet, and reduces the need for localized annular plication. This report reviews late outcomes with FP repair. From January 1994 to August 2006, 1,402 mitral valve repairs were performed for degenerative disease: 1,012 had PLR and 531 had FP technique. Overall hospital mortality was 2.4% (33 of 1,402 patients) and 1.3% (14 of 1,103 patients) for isolated mitral repair. For those patients with PLR, mortality for all procedures was 1.5% (15 of 1,012 patients) and 1.2% (11 of 891 patients) for isolated PLR repairs. Mortality was 0.9% (5 of 531 patients) for FP. In the last 5 years FP was used in 64.4% of PLR, compared with 35.6% of PLR in the prior era (p < 0.001). The 10-year actuarial freedom from mitral reoperation was 89%; 10-year freedom from reoperation or recurrent severe mitral insufficiency was 86% with FP and 87% without (p = 0.76). The 5-year freedom from reoperation or recurrent severe insufficiency was 89% when an annuloplasty device was used and 62% when not used (p < 0.001). Repair of posterior leaflet prolapse with FP is s...Continue Reading

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Citations

May 9, 2012·Journal of the American Veterinary Medical Association·Masami UechiTakashi Nakamura
Aug 13, 2014·General Thoracic and Cardiovascular Surgery·Masaru SawazakiYusuke Imaeda
Dec 19, 2012·The Journal of Thoracic and Cardiovascular Surgery·Masaru SawazakiYuichi Ueda
Mar 1, 2012·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Masami Uechi
Apr 26, 2012·Haemophilia : the Official Journal of the World Federation of Hemophilia·K ZatorskaJ Windyga
Jan 28, 2010·The Annals of Thoracic Surgery·A Marc Gillinov, Tomislav Mihaljevic
Dec 3, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Andrew Maslow
Apr 25, 2015·The Journal of Thoracic and Cardiovascular Surgery·Gökhan IlhanSahin Bozok
Aug 3, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Ken NakamuraTakayuki Abe
Aug 2, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Kerim CagliOmer Cicek
Sep 12, 2015·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Uberto Da ColEnrico Ramoni
Jun 19, 2019·Journal of Cardiac Surgery·Raphaelle A ChemtobMarc Gillinov
Oct 18, 2018·Journal of Cardiothoracic Surgery·Manuel Giraldo-GruesoJuan P Umaña

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