HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Gregori, F. Articles by Silva, L. R. Search for Related Content PubMed PubMed Citation Articles by Gregori, F. Articles by Silva, L. R.

European Journal of Cardio-Thoracic Surgery, Vol 8, 168-172, Copyright © 1994 by European Association for Cardio-thoracic Surgery

ARTICLES

Mitral valvuloplasty with a new prosthetic ring. Analysis of the first 105 cases

F Gregori, SS Silva, SS Hayashi, W Aquino, C Cordeiro and LR Silva
Department of Surgery, State University of Londrina Medical School, Parana, Brazil.

From October 1987 to March 1993, 105 patients were studied who have undergone valvuloplasty with an open ring. They ranged from 5 to 79 years (mean 30); 33 (31.4%) were under 16. All patients had mitral insufficiency, alone in 62 (59.0%) and associated with mitral stenosis (double mitral lesion) in 43 (41.0%). In the majority of the cases, the aetiology was rheumatic (78.1%); active in 10 (9.5%) patients. Three patients (2.9%) were in class II, 42 (40.0%) in class III, 57 (54.3%) in class IV and 3 (2.9%) in class V. Ten patients (9.5%) had isolated ring implantation while the remaining underwent associated procedures on the leaflets, chordae and papillary muscles. There were two (1.9%) hospital deaths, and six patients (5.7%) had to be reoperated. On the 30th (mean) postoperative day, 75 (71.4%) patients were reevaluated by catheterization, echo Doppler or both to confirm the effectiveness of the techniques employed. The mitral valve was functioning normally or with mitral regurgitation + in 63 (84.0%) patients, mitral regurgitation + + in 2 (2.7%), mitral regurgitation + + + in 5 (6.7%), mitral stenosis + in 4 (5.3%), and mitral stenosis + + in 1 (1.3%) patient. The results were therefore considered excellent in 63 (84.0%) patients with either normal mitral valve or mitral regurgitation +, good in 6 (8.0%) patients with mitral regurgitation + + and/or mitral stenosis +, and poor in 6 (8.0%) patients with mitral regurgitation + + + and/or mitral stenosis + +. Two deaths (1.9%) occurred within the first 7 months of follow-up. Patients were evaluated clinically 1-67 months postoperatively (mean 27):90 (85.7%) were in class I, 4 (3.8%) in class II, 4 (3.8%) in class III and 1 (1.0%) in class IV.(ABSTRACT TRUNCATED AT 250 WORDS)

This article has been cited by other articles:

				F. Gregori Jr, C. O. Cordeiro, U. A. Croti, S. S. Hayashi, S. S. da Silva, and T. E.F. Gregori Partial tricuspid valve transfer for repair of mitral insufficiency due to ruptured chordae tendineae Ann. Thorac. Surg., November 1, 1999; 68(5): 1686 - 1690. [Abstract] [Full Text] [PDF]

				F. Gregori Jr, C. O. Cordeiro, W. J. Couto, S. S. da Silva, W. K. de Aquino, and A. Nechar Jr Cox Maze Operation Without Cryoablation for the Treatment of Chronic Atrial Fibrillation Ann. Thorac. Surg., August 1, 1995; 60(2): 361 - 363. [Abstract] [Full Text]