Basic reconstructive techniques in surgical treatment of mitral valve regurgitation Review article
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Published:
Dec 31, 2009
Keywords:
mitral valve reconstruction, mitral valve repair, mitral valve incompetence
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Abstract
Reconstructive operations in surgical treatment of mitral valve incompetence are now a golden standard. Patient referred to those types of operations should be properly diagnosed. It is obligatory to know etiology, pathology and dysfunction of the mitral valve before the operation. Numerous reconstructive techniques let surgeons to adopt the best one to the pathology and dysfunction discovered during the operation with good clinical in-hospital and long-term results. A mutual understanding between cardiologists and cardiac surgeons concerning the mentioned earlier items would enable the best option for the patients suffering from the mitral regurgitation.
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Kołsut , P., Kołsut , A., & Kuśmierski , K. (2009). Basic reconstructive techniques in surgical treatment of mitral valve regurgitation. Cardiology in Practice, 3(4), 144-153. Retrieved from https://www.journalsmededu.pl/index.php/kwp/article/view/1646
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Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
References
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2. Harken D.E., Ellis L.B.: The surgical treatment of mitral stenosis. N. Engl. J. Med. 1948, 239: 801.
3. Bailey C.P.: The surgical treatment of mitral stenosis (mitral commissurotomy). Dis. Chest. 1949, 15: 377.
4. Gibbon J.H.: Application of a mechanical heart and lung apparatus to cardiac surgery. Minn. Med. 1953, 37: 171.
5. Lillehei H.J., Gott V.L., DeWall R.A., Varco R.L.: Surgical correction of pure mitral insufficiency by annuloplasty under direct vision. Lancet 1957, 77: 446.
6. McGoon D.C.: Repair of mitral insufficiency due to ruptured chordae tendinae. J. Thorac. Cardiovasc. Surg. 1960, 39: 357.
7. Kay J.H., Maigson O., Melhaus J.E.: The surgical treatment of mitral insufficiency and combined mitral stenosis and insufficiency with use of heart-lung machine. Surgery 1961, 50: 67.
8. Harken D.E., Soroff H.S., Taylor W.J., Gupta S.K., Lunzer S.: Partial and complete prosthesis in aortic insufficiency. J. Thorac. Cardiovasc. Surg. 1960, 40: 744.
9. Harken D.E., Taylor W.J., Lefemine A.A.: Aortic valve replacement with caged-ball valve. Am. J. Cardiol. 1962, 9: 292.
10. Starr A., Edwards M.L.: Mitral replacement: clinical experience with a ball – valve prosthesis. Ann. Surg. 1961, 154: 726.
11. Carpentier A.: Cardiac valve surgery – the „French correction”. J. Thorac. Surg. 1983, 86: 323-337.
12. Vetter H.O., Burack J.H., Factor S.M.: Replacement of chordae tendineae of mitral valve using the new expanded PTFE suture in sheep. W: Biologic and Bioprosthetic Valves. Bodnar E., Yacoub M. (red.). New York: Yorke medical Books, 1986: 772-84.
13. Zussa C., Frater R.W.M., Polesel E., Galloni M., Valfre C.: Artificial mitral valve chordae. Experimental and clinical experience. Ann. Thorac. Surg. 1990, 50: 367-73.
14. Carpentier A.: Plastic and reconstructive mitral valve surgery. W: In the mitral valve. D. Kalmanson (red.). Publishing sciences group. Acton, Mass 1976.
15. Carpentier A.: Mitral valve reconstructive surgery. W: Operative surgery. Butterworths. London 1977.
16. ACC/AHA 2006 Guidelines (for the Managment of Patients With Valvular Heart Disease). J. Am. Coll. Cardiol. 2006, 48: 598-675.
17. Rosenhek R. et al.: Outcome of watchful waiting in asymptomatic severe mitral regurgitation. Circulation 2006, 113: 2238-2244.
18. Griffin B.P.: Timming of surgical intervention in chronic mitral regurgitation: is vigilance enough? Circulation 2006, 113: 2169-2172.
19. Schoen F.J., St. John Sutton M.: Contemporary issues in the pathology of valvular disease. Hum. Pathol. 1987, 18: 568.
20. Enriquez-Sarano M., Tajik A.J., Schaff H.V., Orszulak T.A., Bailey K.R., Frye R.L.: Echocardiografic prediction of survival after surgical correction of organic mitral regurgitation. Circulation 1994, 90: 830-7.
21. Wisenbaugh T., Skudicky D., Sarelli P.: Prediction of outcome after valve replacement for rheumatic regurgitation in the area of chordal preservation. Circulation 1994, 89: 191-7.
22. Matsumura T., Ohtaki E., Tanaka K. et al.: Echocardiographic prediction of left ventricular dysfunction after mitral valve repair for mitral regurgitation as an indicator to decide the optimal timing of repair. J. Am. Coll. Cardiol. 2003, 42: 458-63.
23. Carabello B.A.: The patophysiology of mitral regurgitation (review). J. Heart Valve Dis. 2000, 9: 600-99.
24. Sarris G.E., Cahill P.D., Hansen D.E., Derby G.C., Miller D.C.: Restoration of left ventricular systolic performance after reattachment of the mitral chordae tendineae: the importance of valvular-ventricular interaction. J. Thorac. Cardiovasc. Surg. 1988, 95: 969-79.
25. David T.E., Uden D.E., Strauss H.D.: The importance of the mitral apparatus in left ventricular function after correction of mitral regurgitation. Circulation 1983, 68: II76-82.
26. Rozich J.D., Carabello B.A., Usher B.W., Kraty J.M., Bell A.E., Yile M.R.: Mitral valve replacement with and without chordal preservation in patients with chronic mitral regurgitation: mechanisms for differences in post-operative ejection performance. Circulation 1992, 86: 1718-26.
27. Bolling S.F., Deeb G.M., Brunsting L.A., Bach D.S.: Early outcome of mitral valve reconstruction in patients with endstage cardiomyopathy. J. Thorac. Cardiovasc. Surg. 1995, 109: 676.
28. Bach D.S., Bolling S.F.: Early improvement in congestive heart failure after correction of secondary mitral regurgitation in end-stage cardiomyopathy. Am. Heart J. 1995, 129: 1165.
29. Bach D.S., Bolling S.F.: Improvement following correction of secondary mitral regurgitation in end stage cardiomyopathy with mitral annuloplasty. Am. J. Cardiol. 1996, 78: 966-9.
30. Schofield P.M.: Invasive investigation of the mitral valve. W: Mitral Valve Disease. Wells F.C., Shapiro L.M. (red.). Wydanie II. Butterworths, London 1996, pp 84-91.
31. Tribouilloy C.M., Enriquez-Sarano M., Schaff H.V. et al.: Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: Rationale for optimizing surigical indications. Circulation 1999, 99: 400.
32. David T.E., Omran A., Armstrong S. et al.: Long-term results of mitral valve repair for myxomatous disease with and without chordal replacement with expanded polytetrafluoroethylene sutures. J. Thorac. Cardiovasc. Surg. 1998, 115: 1279.
33. De Simone R., Glombitza G., Vahl C.F. et al: Three dimensional color Doppler: a clinical study in patients with mitral regurgitation. J. Am. Coll. Cardiol. 1999, 33: 1646.
34. Akins C.W., Hilgenberg A.D., Buckley M.J. et al.: Mitral valve reconstruction versus replacement for degenerative ischemic mitral regurgitation. Ann. Thorac. Surg. 1994, 58: 668.
35. Krishman U.S., Gersony W.W., Berman-Rosenzweig E., Apfel H.D.: Late left ventricular function after surgery for children with chronic symptomatic mitral regurgitation. Circulation 1997, 96: 4280.
36. Zoghbi et al.: Recommendations for evaluation of the severity of native valvular requrgitation with two-dimensional and Doppler. J. Am. Soc. Echo. 2003, 16: 777.
37. Filsoufi F., Salzberg S.P., Adams D.H.: Current management of ischemic mitral regurgitation. Mt. Sinai J. Med. 2005, 72: 105-115.
38. Aklog L., Filsoufi F., Adams D.H.: Ischemic Mitral Regurgitation W: Sabiston&Spencer Surgery of the Chest. Selke F.W., Del Nido P.J., Swanson S.J., Sabiston D.C., Spencer F.C. (red.). Wydanie VII. Elsevier Saunders, Philadelphia 2004: 1299-1344.
2. Harken D.E., Ellis L.B.: The surgical treatment of mitral stenosis. N. Engl. J. Med. 1948, 239: 801.
3. Bailey C.P.: The surgical treatment of mitral stenosis (mitral commissurotomy). Dis. Chest. 1949, 15: 377.
4. Gibbon J.H.: Application of a mechanical heart and lung apparatus to cardiac surgery. Minn. Med. 1953, 37: 171.
5. Lillehei H.J., Gott V.L., DeWall R.A., Varco R.L.: Surgical correction of pure mitral insufficiency by annuloplasty under direct vision. Lancet 1957, 77: 446.
6. McGoon D.C.: Repair of mitral insufficiency due to ruptured chordae tendinae. J. Thorac. Cardiovasc. Surg. 1960, 39: 357.
7. Kay J.H., Maigson O., Melhaus J.E.: The surgical treatment of mitral insufficiency and combined mitral stenosis and insufficiency with use of heart-lung machine. Surgery 1961, 50: 67.
8. Harken D.E., Soroff H.S., Taylor W.J., Gupta S.K., Lunzer S.: Partial and complete prosthesis in aortic insufficiency. J. Thorac. Cardiovasc. Surg. 1960, 40: 744.
9. Harken D.E., Taylor W.J., Lefemine A.A.: Aortic valve replacement with caged-ball valve. Am. J. Cardiol. 1962, 9: 292.
10. Starr A., Edwards M.L.: Mitral replacement: clinical experience with a ball – valve prosthesis. Ann. Surg. 1961, 154: 726.
11. Carpentier A.: Cardiac valve surgery – the „French correction”. J. Thorac. Surg. 1983, 86: 323-337.
12. Vetter H.O., Burack J.H., Factor S.M.: Replacement of chordae tendineae of mitral valve using the new expanded PTFE suture in sheep. W: Biologic and Bioprosthetic Valves. Bodnar E., Yacoub M. (red.). New York: Yorke medical Books, 1986: 772-84.
13. Zussa C., Frater R.W.M., Polesel E., Galloni M., Valfre C.: Artificial mitral valve chordae. Experimental and clinical experience. Ann. Thorac. Surg. 1990, 50: 367-73.
14. Carpentier A.: Plastic and reconstructive mitral valve surgery. W: In the mitral valve. D. Kalmanson (red.). Publishing sciences group. Acton, Mass 1976.
15. Carpentier A.: Mitral valve reconstructive surgery. W: Operative surgery. Butterworths. London 1977.
16. ACC/AHA 2006 Guidelines (for the Managment of Patients With Valvular Heart Disease). J. Am. Coll. Cardiol. 2006, 48: 598-675.
17. Rosenhek R. et al.: Outcome of watchful waiting in asymptomatic severe mitral regurgitation. Circulation 2006, 113: 2238-2244.
18. Griffin B.P.: Timming of surgical intervention in chronic mitral regurgitation: is vigilance enough? Circulation 2006, 113: 2169-2172.
19. Schoen F.J., St. John Sutton M.: Contemporary issues in the pathology of valvular disease. Hum. Pathol. 1987, 18: 568.
20. Enriquez-Sarano M., Tajik A.J., Schaff H.V., Orszulak T.A., Bailey K.R., Frye R.L.: Echocardiografic prediction of survival after surgical correction of organic mitral regurgitation. Circulation 1994, 90: 830-7.
21. Wisenbaugh T., Skudicky D., Sarelli P.: Prediction of outcome after valve replacement for rheumatic regurgitation in the area of chordal preservation. Circulation 1994, 89: 191-7.
22. Matsumura T., Ohtaki E., Tanaka K. et al.: Echocardiographic prediction of left ventricular dysfunction after mitral valve repair for mitral regurgitation as an indicator to decide the optimal timing of repair. J. Am. Coll. Cardiol. 2003, 42: 458-63.
23. Carabello B.A.: The patophysiology of mitral regurgitation (review). J. Heart Valve Dis. 2000, 9: 600-99.
24. Sarris G.E., Cahill P.D., Hansen D.E., Derby G.C., Miller D.C.: Restoration of left ventricular systolic performance after reattachment of the mitral chordae tendineae: the importance of valvular-ventricular interaction. J. Thorac. Cardiovasc. Surg. 1988, 95: 969-79.
25. David T.E., Uden D.E., Strauss H.D.: The importance of the mitral apparatus in left ventricular function after correction of mitral regurgitation. Circulation 1983, 68: II76-82.
26. Rozich J.D., Carabello B.A., Usher B.W., Kraty J.M., Bell A.E., Yile M.R.: Mitral valve replacement with and without chordal preservation in patients with chronic mitral regurgitation: mechanisms for differences in post-operative ejection performance. Circulation 1992, 86: 1718-26.
27. Bolling S.F., Deeb G.M., Brunsting L.A., Bach D.S.: Early outcome of mitral valve reconstruction in patients with endstage cardiomyopathy. J. Thorac. Cardiovasc. Surg. 1995, 109: 676.
28. Bach D.S., Bolling S.F.: Early improvement in congestive heart failure after correction of secondary mitral regurgitation in end-stage cardiomyopathy. Am. Heart J. 1995, 129: 1165.
29. Bach D.S., Bolling S.F.: Improvement following correction of secondary mitral regurgitation in end stage cardiomyopathy with mitral annuloplasty. Am. J. Cardiol. 1996, 78: 966-9.
30. Schofield P.M.: Invasive investigation of the mitral valve. W: Mitral Valve Disease. Wells F.C., Shapiro L.M. (red.). Wydanie II. Butterworths, London 1996, pp 84-91.
31. Tribouilloy C.M., Enriquez-Sarano M., Schaff H.V. et al.: Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: Rationale for optimizing surigical indications. Circulation 1999, 99: 400.
32. David T.E., Omran A., Armstrong S. et al.: Long-term results of mitral valve repair for myxomatous disease with and without chordal replacement with expanded polytetrafluoroethylene sutures. J. Thorac. Cardiovasc. Surg. 1998, 115: 1279.
33. De Simone R., Glombitza G., Vahl C.F. et al: Three dimensional color Doppler: a clinical study in patients with mitral regurgitation. J. Am. Coll. Cardiol. 1999, 33: 1646.
34. Akins C.W., Hilgenberg A.D., Buckley M.J. et al.: Mitral valve reconstruction versus replacement for degenerative ischemic mitral regurgitation. Ann. Thorac. Surg. 1994, 58: 668.
35. Krishman U.S., Gersony W.W., Berman-Rosenzweig E., Apfel H.D.: Late left ventricular function after surgery for children with chronic symptomatic mitral regurgitation. Circulation 1997, 96: 4280.
36. Zoghbi et al.: Recommendations for evaluation of the severity of native valvular requrgitation with two-dimensional and Doppler. J. Am. Soc. Echo. 2003, 16: 777.
37. Filsoufi F., Salzberg S.P., Adams D.H.: Current management of ischemic mitral regurgitation. Mt. Sinai J. Med. 2005, 72: 105-115.
38. Aklog L., Filsoufi F., Adams D.H.: Ischemic Mitral Regurgitation W: Sabiston&Spencer Surgery of the Chest. Selke F.W., Del Nido P.J., Swanson S.J., Sabiston D.C., Spencer F.C. (red.). Wydanie VII. Elsevier Saunders, Philadelphia 2004: 1299-1344.