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Reoperation Following Mitral Valve Repair

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Redo Cardiac Surgery in Adults

Abstract

The management of mitral valve regurgitation (MR) has evolved significantly over the past 2 decades. During that time, there has been a change in the pathology and, consequently, the pathophysiology of patients referred for operative treatment. In current practice in the Western world, consequent to the decline in the frequency of postinflammatory valvopathy, most patients presenting for mitral valve (MV) surgery have degenerative valve disease. Two factors have been influential in broadening the indications for performing MV repair. First, patients are identified earlier and followed more regularly to prevent the deleterious consequences of chronic persistent MR on left ventricular (LV) size and function. Second, the outcome of surgical management has improved, and the long-term durability of primary and reoperative valve repair has been clearly established.

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References

  1. Cohn L et al. Long-term results of mitral valve reconstruction for regurgitation of the myxomatous mitral valve. J Thorac Cardiovasc Surg. 1994;107:143–50.

    PubMed  CAS  Google Scholar 

  2. David TE. Outcomes of mitral valve repair for mitral regurgitation due to degenerative disease. Semin Thorac Cardiovasc Surg. 2007;19:116–20.

    Article  PubMed  Google Scholar 

  3. Galloway A et al. A comparison of mitral valve reconstruction with mitral valve replacement: intermediate-term results. Ann Thorac Surg. 1989;47:655–62.

    Article  PubMed  CAS  Google Scholar 

  4. Suri RM et al. Survival advantage and improved durability of mitral repair for leaflet prolapse subsets in the current era. Ann Thorac Surg. 2006;82:819–26.

    Article  PubMed  Google Scholar 

  5. Enriquez-Sarano M et al. Quantitative determinants of the outcome of asymptomatic mitral regurgitation. N Engl J Med. 2005;352:875–83.

    Article  PubMed  CAS  Google Scholar 

  6. Enriquez-Sarano M, Schaff HV, Frye RL. Early surgery for mitral regurgitation: the advantages of youth. Circulation. 1997;96:4121–3.

    PubMed  CAS  Google Scholar 

  7. Enriquez-Sarano M et al. Echocardiographic prediction of left ventricular function after correction of mitral regurgitation: results and clinical implications. J Am Coll Cardiol. 1994;24:1536–43.

    Article  PubMed  CAS  Google Scholar 

  8. Bonow RO et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients with Valvular Heart Disease): Developed in Collaboration with the Society of Cardiovascular Anesthesiologists: Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation. 2006;114:e84–231.

    Article  PubMed  Google Scholar 

  9. Bonow RO et al. Focused Update Incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients with Valvular Heart Disease) Endorsed by the Society of Cardiovascular Anesthesio­logists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52:e1–142.

    Article  PubMed  Google Scholar 

  10. Ellis FH Jr, Frye RL, McGoon DC. Results of reconstructive operations for mitral insufficiency due to ruptured chordae tendineae Surgery. 1966 Jan;59(1):165–72.

    Google Scholar 

  11. Suri RM et al. Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse. J Thorac Cardiovasc Surg. 2009;137:1071–6.

    Article  PubMed  Google Scholar 

  12. Suri RM et al. Recurrent mitral regurgitation after repair: should the mitral valve be re-repaired? J Thorac Cardiovasc Surg. 2006;132:1390–7.

    Article  PubMed  Google Scholar 

  13. Dumont E et al. Reoperation after mitral valve repair for degenerative disease. Ann Thorac Surg. 2007;84:444–50.

    Article  PubMed  Google Scholar 

  14. Zegdi R et al. Reoperation for failure of mitral valve repair in degenerative disease: a single-center experience. Ann Thorac Surg. 2008;86:1480–4.

    Article  PubMed  Google Scholar 

  15. Gillinov AM et al. Reoperation for failure of mitral valve repair. J Thorac Cardiovasc Surg. 1997;113:467–75.

    Article  PubMed  CAS  Google Scholar 

  16. Asmar B et al. Failures in reconstructive mitral valve surgery. J Med Liban. 1991;39:7–11.

    PubMed  Google Scholar 

  17. Zegdi R, Achouh P, Fabiani J-N. Redo mitral valve repair. J Thorac Cardiovasc Surg. 2007;134:268.

    PubMed  Google Scholar 

  18. Lam B-K et al. Hemolysis after mitral valve repair: mechanisms and treatment. Ann Thorac Surg. 2004;77:191–5.

    Article  PubMed  Google Scholar 

  19. Cerfolio RJ et al. Reoperation for hemolytic, anaemia complicating mitral valve repair. Eur J Cardiothorac Surg. 1997;11:479–84.

    Article  PubMed  CAS  Google Scholar 

  20. Lam B-K, Gillinov AM, Cosgrove I, Delos M. Failed mitral valve repair caused by polypropylene suture. Ann Thorac Surg. 2003;76:1716–7.

    Article  PubMed  Google Scholar 

  21. Schaff HV et al. Mechanisms of hemolysis after mitral valve repair: assessment by serial echocardiography. J Am Coll Cardiol. 1998;32:717–23.

    Article  PubMed  Google Scholar 

  22. Matsumura T 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.

    Article  PubMed  Google Scholar 

  23. Enriquez-Sarano M et al. Valve repair improves the outcome of surgery for mitral regurgitation: a multivariate analysis. Circulation. 1995;91:1022–8.

    PubMed  CAS  Google Scholar 

  24. Mohty D et al. Very long-term survival and durability of mitral valve repair for mitral valve prolapse. Circulation. 2001;104(12 Suppl 1):I1–7.

    PubMed  CAS  Google Scholar 

  25. Gillinov AM et al. Durability of mitral valve repair for degenerative disease. J Thorac Cardiovasc Surg. 1998;116:734–43.

    Article  PubMed  CAS  Google Scholar 

  26. De Bonis M et al. Similar long-term results of mitral valve repair for anterior compared with posterior leaflet prolapse. J Thorac Cardiovasc Surg. 2006;131:364–70.

    Article  PubMed  Google Scholar 

  27. Lawrie GM, Earle EA, Earle NR. Feasibility and intermediate term outcome of repair of prolapsing anterior mitral leaflets with artificial chordal replacement in 152 patients. Ann Thorac Surg. 2006;81:849–56.

    Article  PubMed  Google Scholar 

  28. Meyer SR et al. Reoperative mitral valve surgery by the port access minithoracotomy approach is safe and effective. Ann Thorac Surg. 2009;87:1426–30.

    Article  PubMed  Google Scholar 

  29. Loulmet DF et al. Less invasive intracardiac surgery performed without aortic clamping. Ann Thorac Surg. 2008;85:1551–5.

    Article  PubMed  Google Scholar 

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Correspondence to Rakesh M. Suri MD, DPhil .

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Suri, R.M., Schaff, H.V. (2012). Reoperation Following Mitral Valve Repair. In: Machiraju, V., Schaff, H., Svensson, L. (eds) Redo Cardiac Surgery in Adults. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1326-4_11

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  • DOI: https://doi.org/10.1007/978-1-4614-1326-4_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1325-7

  • Online ISBN: 978-1-4614-1326-4

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