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Mitral valve repair by Carpentier-Edwards Physio annuloplasty ring

The Japanese Journal of Thoracic and Cardiovascular Surgery volume 47, pages 355–360 (1999)Cite this article

Abstract

A semi-flexible annuloplasty ring (Physio-ring) was clinically used in 30 cases of mitral valve insufficiency. The Physio-ring has the characteristics in which the anterior section is rigid and has a saddle-shaped curve, while the posterior section is flexible to allow for changes in size and shape of the anulus during ventricular contraction. The patients were aged from 23 to 73 years (mean 53.8 ± 12.5). The cause of mitral valve insufficiency was degenerative (in 24 patients), rheumatic (2), ischemic (1), endocarditis (1), congenital + degenerative (1), and traumatic (1). On the 6-month post-implant echocardiogram, 96.6% had grade 0 or +1 regurgitation. The effective valve orifice area was 2.61 ± 0.82 cm2 (n = 19). There was no late death. However, there was 1 (3.3%) hospital death after the patient had received a simultaneous coronary artery bypass grafting, and then developed low output syndrome after surgery. Although there was no device-related complication, hemolysis of undetermined cause was observed in 1 (3.3%) patient The findings from this study indicated a low incidence of device-related complication, while excellent valvular function was maintained.

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References

  1. Kreindel MS, Schiavone WA, Lever JM, Cosgrove D. Systolic anterior motion of the mitral valve after Carpentier ring valvuloplasty for mitral valve prolapse. Am J Cardiol 1986; 57: 408–12.

    PubMed  Article  CAS  Google Scholar 

  2. David TE, Komeda M, Pollick C, Burns RJ. Mitral valve annuloplasty: the effect of the type on left ventricular function. Ann Thorac Surg 1989; 47: 524–8.

    PubMed  Article  CAS  Google Scholar 

  3. Van Rijk-Zwiller GL, Mast F, Schipperheyn JJ, Huysmans HA, Bruschke AVG. Comparison of rigid and flexible rings for annuloplasty of the porcine mitral valve. Circulation 1990; 82 (5 Suppl): IV 58–64.

    Google Scholar 

  4. Okada Y, Shomura T, Yamaura Y, Yoshikawa J. Comparison of the Carpentier and Duran prosthetic rings used in mitral reconstruction. Ann Thorac Surg 1995; 59: 658–63.

    PubMed  Article  CAS  Google Scholar 

  5. Deloche A, Jebara VA, Relland JYM, Chauvaud S, Fabiani JN, Perier P, et al. Valve repair with Carpentier techniques: The Second Decade. J Thorac Cardiovasc Surg 1990; 99: 990–1002.

    PubMed  CAS  Google Scholar 

  6. Carpentier AF, Lessana A, Relland JYM, Belli E, Mihaleanu S, Berrebi AJ, et al. The Physio-Ring: an advanced concept in mitral valve annuloplasty. Ann Thorac Surg 1995; 60: 1177–86.

    PubMed  Article  CAS  Google Scholar 

  7. Carpentier A. Cardiac valve surgery — the French correction. J Thorac Cardiovasc Surg 1983; 86: 327–37.

    Google Scholar 

  8. Edmunds LH Jr, Clark RE, Cohn LH, Grunkemeier GL, Miller DC, Weisel RD. Guidelines for reporting morbidity and mortality after cardiac valvular operations. J Thorac Cardiovasc Surg 1996; 112: 708–11.

    PubMed  Article  Google Scholar 

  9. Nakano M, Kurosawa H, Morita K, Nagahori R, Tatara A, Shimizu S. Mitral valve repair for mitral regurgitation: technical contrivance and its further application. (in Japanese with English abstract) J Jpn Assn Thorac Surg 1995; 43: 1617–24.

    CAS  Google Scholar 

  10. Kasegawa H, Kamata S, Ida T, Kawase M, Fujimoto T, Umezu M. Physiologic remodeling annuloplasty to retain the shape of the anterior leaflet: a new concept in mitral valve repair. J Heart Valve Dis 1997; 6: 604–7.

    PubMed  CAS  Google Scholar 

  11. Eishi K, Kawazoe K, Sasako Y, Kosakai Y, Kitoh Y, Kawashima Y. Comparison of repair technique for mitral valve prolapse. J Heart Valv Dis 1994; 3: 432–8.

    CAS  Google Scholar 

  12. Duran CG, Ubago JL. Clinical and hemodynamic performance of a totally flexible prosthetic ring for atrioventricular valve reconstruction. Ann Thorac Surg 1976; 22: 458–63.

    PubMed  Article  CAS  Google Scholar 

  13. Galloway AC, Colvin SB, Baumann FG, Esposito R, Vohra R, Harty S, et al. Long term results of mitral valve reconstruction with Carpentier techniques in 148 patients with mitral insufficiency. Circulation 1988; 78 (Suppl 1): 97–105.

    Google Scholar 

  14. Lessana A, Tu TV, Ades F, Kara SM, Ameur A, Ruffenach A, et al. Mitral reconstructive operations: a series of 130 consecutive cases. J Thorac Cardiovasc Surg 1983; 86: 553–61.

    PubMed  CAS  Google Scholar 

  15. Cosgrove DM, Arcidi JM, Rodriguez L, Stewart WJ, Powell K, Thomas JD. Initial experience with the Cosgrove-Edwards annuloplasty system. Ann Thorac Surg 1995; 60: 499–504.

    PubMed  Article  Google Scholar 

  16. Antunes MJ, Magalhaes MP, Colsen PR, Kinsley RH. Valvuloplasty of rheumatic mitral valve disease. J Thorac Cardiovasc Surg 1987; 94: 44–56.

    PubMed  CAS  Google Scholar 

  17. Randall Green G, Dagum P, Galsson JR, Daughters GT, Bolger AE, Foppiano LE, et al. Ring annuloplasty “Freezes” the posterior mitral leaflet. The 35th Annual Meeting of the Society of Thoracic Surgeon. (abstract) San Antonio 1999; 244.

  18. Duran CG, Revueita JM, Gaite L, Alonso C, Fleitas MG. Stability of mitral reconstructive surgery at 10–12 years of predominantly rheumatic valvular disease. Circulation 1988; 78 (Pt 2): I 91–6.

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, 105-8461, Tokyo, Japan

    Hiromi Kurosawa & Masamichi Nakano

  2. Department of Cardiovascular Surgery, The Sakakibara Heart Institute, Tokyo, Japan

    Mitsuhiko Kawase & Hitoshi Kasegawa

  3. Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

    Kiyoharu Nakano & Kiyoyuki Eishi

Authors
  1. Hiromi Kurosawa
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  2. Masamichi Nakano
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  3. Mitsuhiko Kawase
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  4. Hitoshi Kasegawa
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  5. Kiyoharu Nakano
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  6. Kiyoyuki Eishi
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Kurosawa, H., Nakano, M., Kawase, M. et al. Mitral valve repair by Carpentier-Edwards Physio annuloplasty ring. Jpn J Thorac Caridovasc Surg 47, 355–360 (1999). https://doi.org/10.1007/BF03218026

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  • DOI: https://doi.org/10.1007/BF03218026

Index words

  • mitral valve repair
  • mitral annuloplasty
  • mitral regurgitation
  • Physio-ring