Mitral Valve Repair for Mitral Bileaflet Prolapse_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHENmai ,  XIUZong-yi , GUTian-xiang , ZHANGZhi-wei

Department of Cardiac Surgery, The First Hospital of China Medical University, Shenyang 110001, P. R. China;

Corresponding?author：

XIUZong-yi, Email: xzy5450@aliyun.com

Keywords：

Mitral valve repair; Mitral bileaflet prolapse; Multiple valve repair technique

DOI：

10.7507/1007-4848.20150168

Video：

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Objective To conclude the outcomes of mitral valve repair for mitral bileaflet prolapse. Methods We retrospectively analyzed the clinical data of 14 patients with mitral bileaflet prolapse in our hospital between June 2010 and March 2013. There were 10 males and 4 females with at age of 46.9±12.0 years. We used one technique in 4 patients, two techniques in 9 patients, three techniques in 1 patient. Results Mean follow-up time was 13.1±7.2 months. There was no perioperative death. No reoperation occurred. No or trace mitral regurgitation (MR) was found in 13 patients. Slight MR was found in one patient. Conclusion The early metaphase results of mitral valve repair for mitral bileaflet prolapse are satisfactory if the appropriate surgery method is chosen.

Citation： CHENmai, XIUZong-yi, GUTian-xiang, ZHANGZhi-wei. Mitral Valve Repair for Mitral Bileaflet Prolapse. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(7): 660-663. doi: 10.7507/1007-4848.20150168 Copy

1.	Maisano F, Redaelli A, Pennati G, et al. The hemodynamic effects of double-orifice valve repair for mitral regurgitation:a 3D computational model. Eur J Cardiothorac Surg, 1999, 15 (4):419-425.
2.	Gillinov AM, Cosgrove DM. Mitral valve repair for degenerative disease.J Heart Valve Dis, 2002, 11:S15-20.
3.	De Bonis M, Lorusso R, Lapenna E, et al. Similar long-term results of mitral valve repair for anterior compared with posterior leflet rolapsed. J Thorac Cardiovasc Surg, 2006, 131(2):364-370.
4.	Carpentier A. Cardiac valve surgery-the "French correction". J Thorac Cardiovasc Surg, 1983, 86(3):323-337.
5.	Gillinov AM, Cosgrove DM. Mitral valve repair for degenerative disease. J Heart Valve Dis, 2002,11:S15-20.
6.	rolapsed6 胡盛壽, 吳洪斌, 朱曉東, 等. 巨大心臟患者二尖瓣成形手術療效評價. 中國循環雜志, 1997, 12(2):101-103.
7.	Gillinov AM, Cosgrove DM 3rd, Wahi S, et al. Is anterior leaflet repair always necessary in repair of bileaflet mitral valve rolapsed? Ann Thorac Surg, 1999, 68(3):820-823.
8.	Tomita Y, Yasui H, Tominaga R, et al. Extensive use of polytetrafluoroethylene artificial grafts for rolapsed of bilateral mitral leaflets. Eur J Cardiothorac Surg, 2002, 21(1):27-31.
9.	De Bonis M, Lapenna E, Lorusso R, et al. Very long-term results (up to 17 years) with the double-orifice mitral valve. J Thorac Cardiovasc Surg, 2012, 144(5):1019-1024.
10.	Fundarò P, Tartara PM, Villa E, et al. Mitral valve repair:is there still a place for suture annuloplasty? Asian Cardiovasc Thorac Ann, 2007, 15:351-358.
11.	潘世偉, 胡盛壽, 胡曉鵬, 等. 國產瓣膜成形軟環在二尖瓣成形術中的應用. 中國胸心血管外科臨床雜志, 2011, 18(1):26-29.
12.	王鐵征, 徐方杰, 鄭悅, 等. 三種二尖瓣人工成形環的臨床效果. 中華胸心血管外科雜志, 2010, 26(3):200-201.
13.	Chang BC, Youn YN, Ha JW, et al. Long-term clinical results of mitral valvuloplasty using flexible and rigid rings:a prospective and randomized study. J Thorac Cardiovasc Surg, 2007, 133(4):995-1003.

1. Maisano F, Redaelli A, Pennati G, et al. The hemodynamic effects of double-orifice valve repair for mitral regurgitation:a 3D computational model. Eur J Cardiothorac Surg, 1999, 15 (4):419-425.
2. Gillinov AM, Cosgrove DM. Mitral valve repair for degenerative disease.J Heart Valve Dis, 2002, 11:S15-20.
3. De Bonis M, Lorusso R, Lapenna E, et al. Similar long-term results of mitral valve repair for anterior compared with posterior leflet rolapsed. J Thorac Cardiovasc Surg, 2006, 131(2):364-370.
4. Carpentier A. Cardiac valve surgery-the "French correction". J Thorac Cardiovasc Surg, 1983, 86(3):323-337.
5. Gillinov AM, Cosgrove DM. Mitral valve repair for degenerative disease. J Heart Valve Dis, 2002,11:S15-20.
6. rolapsed6 胡盛壽, 吳洪斌, 朱曉東, 等. 巨大心臟患者二尖瓣成形手術療效評價. 中國循環雜志, 1997, 12(2):101-103.
7. Gillinov AM, Cosgrove DM 3rd, Wahi S, et al. Is anterior leaflet repair always necessary in repair of bileaflet mitral valve rolapsed? Ann Thorac Surg, 1999, 68(3):820-823.
8. Tomita Y, Yasui H, Tominaga R, et al. Extensive use of polytetrafluoroethylene artificial grafts for rolapsed of bilateral mitral leaflets. Eur J Cardiothorac Surg, 2002, 21(1):27-31.
9. De Bonis M, Lapenna E, Lorusso R, et al. Very long-term results (up to 17 years) with the double-orifice mitral valve. J Thorac Cardiovasc Surg, 2012, 144(5):1019-1024.
10. Fundarò P, Tartara PM, Villa E, et al. Mitral valve repair:is there still a place for suture annuloplasty? Asian Cardiovasc Thorac Ann, 2007, 15:351-358.
11. 潘世偉, 胡盛壽, 胡曉鵬, 等. 國產瓣膜成形軟環在二尖瓣成形術中的應用. 中國胸心血管外科臨床雜志, 2011, 18(1):26-29.
12. 王鐵征, 徐方杰, 鄭悅, 等. 三種二尖瓣人工成形環的臨床效果. 中華胸心血管外科雜志, 2010, 26(3):200-201.
13. Chang BC, Youn YN, Ha JW, et al. Long-term clinical results of mitral valvuloplasty using flexible and rigid rings:a prospective and randomized study. J Thorac Cardiovasc Surg, 2007, 133(4):995-1003.

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