The Choice Between Valve Preservation and Valve Replacement

  • N. G. De Vega
Conference paper

Abstract

Before open-heart techniques were developed, surgeons could only direct their efforts toward achieving repair of diseased valves. Surprisingly, certain techniques developed then are still the basis for surgical procedures used today.

Keywords

Assure Cardiol Endocarditis 

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References

  1. 1.
    Peterffy A, Jonasson R, Szamosi A et al (1980) Comparison of Kay’s and De Vega’s annuloplasty in surgical treatment of tricuspid incompetence. Scand J Cardiovasc Surg 14: 249CrossRefGoogle Scholar
  2. 2.
    Wooler GH, Nixon PGF, Grimshaw VA et al (1962) Experience with the repair of the mitral valve in mitral incompetence. Thorax 17: 49PubMedCrossRefGoogle Scholar
  3. 3.
    Loogen F, Horstkotte D (1982) Therapy of cardiovascular disease — Valvular heart disease. In: Bleifeld W, Mathey D (eds) Therapy of cardiovascular disease. Thieme, Stuttgart — New York, p 21Google Scholar
  4. 4.
    Kay JH, Krohn BG, Zubiate et al (1979) Surgical correction of severe mitral valve prolapse without mitral insufficiency but with pronounced cardiac arrhythmias. J Thorac Cardiovasc Surg 78: 259PubMedGoogle Scholar
  5. 5.
    Burch GE, de Pasquale NP, Phillips JH (1962) Clinical manifestation of papillary muscle dysfunction. Arch Intern Med 112: 112CrossRefGoogle Scholar
  6. 6.
    Fishbein MC, Giessen SA, Collins JJ (1977) Pathology in patients with glutaraldehyde-fixed porcine cardiac valves. Am J Cardiol 40: 331PubMedCrossRefGoogle Scholar
  7. 7.
    Geha AS, Laks H, Stansel HC et al (1979) Late failure of porcine valve heterografts in children. J Thorac Cardiovasc Surg 78: 351PubMedGoogle Scholar
  8. 8.
    McGoon D (1959) Repair of mitral insufficiency due to ruptured chordae tendineae. J Thorac Cardiovasc Surg 39: 357–362Google Scholar
  9. 9.
    Capentier A, Cauvaud S, Fabiani JN et al (1980) Reconstructive surgery of mitral valve incompetence: Ten-year appraisal. J Thorac Cardiovasc Surg 79: 338Google Scholar
  10. 10.
    Senning A (1967) Fascia lata replacement of the aortic valve. J Thorac Cardiovasc Surg 54: 465PubMedGoogle Scholar
  11. 11.
    Senning A, Rothlin M (1973) Reconstruction of the aortic valve with fascia lata: Initial and longterm results. Vasc Surg 7: 29Google Scholar
  12. 12.
    De Vega NG (1972) La anuloplastia selectiva, regulable y permanente: una tècnica original para el tratamiento de la insuficiencia tricúspide. Rev Esp Cardiol 25: 555PubMedGoogle Scholar
  13. 13.
    Duran CG (1980) Conservative operation for mitral insufficiency: Critical analysis supported by postoperative hemodynamic studies of 72 patients. J Thorac and Cardiovasc Surg 79: 326Google Scholar
  14. 14.
    Shore DF, Wong P, Paneth M (1980) Results of mitral valvuloplasty with a suture plication technique. J Thorac Cardiovasc Surg 79: 349PubMedGoogle Scholar
  15. 15.
    Adebo DA et al (1983) Conservative surgery for mitral valve disease: Clinical and echo-cardiographic analysis of results. Thorax 38: 564CrossRefGoogle Scholar
  16. 16.
    Frater RW, Gabbay S, Shore D et al (1983) Reproducible replacement of elongated or ruptured mitral valve chordae. Ann Thorac Surg 35: 14PubMedCrossRefGoogle Scholar
  17. 17.
    Mestres CA, Igual A, Murtra M (1983) The Björk-Shiley tilting disc valve in the tricuspid position. Scand J Thorac Cardiovasc Surg 17: 197PubMedCrossRefGoogle Scholar
  18. 18.
    Charlesworth DC et al (1983) Assessment of mitral and tricuspid competence after valvuloplasty. Ann Thorac Surg 35: 105PubMedCrossRefGoogle Scholar
  19. 19.
    Brugger JJ, Egloff L, Rothlin M et al (1982) Tricuspidal annuloplasty: Results and complications. Thorac Cardiovasc Surgeon 30: 284Google Scholar
  20. 20.
    Haerten K, Seipel L, Loogen F et al (1978) Hemodynamic studies after De Vega’s tricuspid annuloplasty. Circulation 58 (Suppl I): 28Google Scholar
  21. 21.
    Starr A, Edwards ML (1961) Mitral replacement: Clinical experience with a ball-valve prosthesis. Ann Surg 154: 726Google Scholar
  22. 22.
    Tepley JF, Grunkemeier GL, Sutherland DH et al (1981) The ultimate prognosis after valve replacement: An assessment at twenty years. Ann Thorac Surg 32: 111Google Scholar
  23. 23.
    Bonchek LI (1981) Cardiac valve replacement. Ann Thorac Surg 32:editorialGoogle Scholar
  24. 24.
    Horstkotte D, Haerten K, Herzer JA et al (1983) Five-years results after randomized mitral valve replacement with Björk-Shiley, Lillehei-Kaster and Starr-Edwards prostheses. Thorac Cardiovasc Surg 31: 206Google Scholar
  25. 25.
    Reed GE, Pooley RW, Maggio RA (1980) Durability of measured mitral annuloplasty: Seventeen-year study. J Thorac Cardiovasc Surg 79: 321Google Scholar
  26. 26.
    de Caleya D, Sarnago F, Galinanes M et al (1983) Fracture of Carpentier’s ring in a patient with tricuspid annuloplasty. Thorac Cardiovasc Surg 31: 175PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • N. G. De Vega
    • 1
  1. 1.Hospital Regional Carlos HayaMálagaSpain

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