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Eur J Cardiothorac Surg 2006;29:128
© 2006 Elsevier Science NL

Letter to the Editor

Reply to Mishra

Denis Bouchard *

Department of Surgery, Montreal Heart Institute, 5000 Belanger Street East, Montreal, Que, Canada H1T 1C8

Received 27 October 2005; accepted 31 October 2005.

* Tel.: +1 514 376 3330x3716; fax: +1 514 376 1355. (Email: denis.bouchard{at}icm-mhi.org).

Key Words: Cardiac • Electrophysiology • Arrhythmias

I agree with Dr. Mishra's comments. Concerning the low percentage of mitral valve repair, please note this is a historical cohort from 1979 to 2003. Mitral valve repair is the primary treatment for degenerative and ischemic mitral regurgitation in our institution since 1995. In the cohort of valvular patients studied in this paper it represents 13% of the isolated mitral valve procedures. All patients had posterior leaflet preservation, both leaflets were seldom preserved and the impact of preserving both leaflets has not been evaluated. Mechanical valves and bioprosthesis behaved similarly in term of conversion from atrial fibrillation to sinus rhythm in this study.
Thank you for your interest.





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