The History of Research on Mitral, Tricuspid, and Aortic Valve Repair After the Advent of Cardiopulmonary Bypass

  • Ruggero De Paulis
  • Andrea Salica
  • Raffaele Scaffa
  • Luca Weltert


This chapter focuses on the history of research on mitral, aortic and tricuspid valve repair after the advent of cardiopulmonary bypass. Starting from the first findings in the early Fifties, the authors describe the most important steps in surgical research made during the decades, and the improvement of techniques.


Aortic Valve Mitral Valve Tricuspid Valve Aortic Regurgitation Tricuspid Regurgitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Gibbon JH Jr (1953) Application of a mechanical heart and lung apparatus to cardiac surgery, recent advance in cardiovascular physiology and surgery. University of Minnesota, Minneapolis, pp 107–113Google Scholar
  2. 2.
    Wooler GH, Nixon PGF, Grimshow VA, Watson DA (1962) Experiences with the repair of mitral valve in mitral incompetence. Thorax 17:49–57PubMedCrossRefGoogle Scholar
  3. 3.
    Reed GE, Tice DA, Clauss RH (1965) Asymmetric exaggerated mitral annuloplasty: repair of mitral insufficiency with hemodynamic predictability. J Thorac Cardiovasc Surg 49:752–761PubMedGoogle Scholar
  4. 4.
    Gerbode F, Kerth WJ, Osborn JJ, Selzer A (1962) Correction of mitral insufficiency by open operation. Ann Surg 155:846–854PubMedGoogle Scholar
  5. 5.
    Burr LH, Krayenbuhl C, Sutton MS (1977) The mitral plication suture: a new technique of mitral valve repair. J Thorac Cardiovasc Surg 73:589–595PubMedGoogle Scholar
  6. 6.
    Carpentier A (1983) Cardiac valve surgery—the French correction. J Thorac Cardiovasc Surg 86:323–337PubMedGoogle Scholar
  7. 7.
    Duran CG, Ubago JLM (1976) Clinical and hemodynamics performance of a totally flexible prosthetic ring for atrioventricular valve reconstruction. Ann Thorac Surg 22:458–463PubMedCrossRefGoogle Scholar
  8. 8.
    January LE, Fisher JM, Ehrenhaft JL (1962) Mitral insufficiency resulting from rupture of normal chordae tendineae. Report of a surgically corrected case. Circulation 26:1329–1333PubMedCrossRefGoogle Scholar
  9. 9.
    Frater RW, Berghuis J, Brown AL Jr, Ellis FH Jr (1965) The experimental and clinical use of autogenous pericardium for the replacement and extension of mitral and tricuspid valve cusps and chordae. J Cardiovasc Surg (Torino) 6:215–228Google Scholar
  10. 10.
    David TE, Bos J, Rakowski H (1991) Mitral valve repair by replacement of chordate tendinae with polytetrafluoroethylene sutures. J Thorac Cardiovasc Surg 101:495–501PubMedGoogle Scholar
  11. 11.
    Salvador L, Mirone S, Bianchini R, Regesta T, Patelli F, Minniti G, Masat M, Cavarretta E, Valfrè C (2008) A 20-year experience with mitral valve repair with artificial chordae in 608 patients. J Thorac Cardiovasc Surg 135:1280–1287PubMedCrossRefGoogle Scholar
  12. 12.
    Maisano F, Torracca L, Oppizzi M, Stefano PL, D’Addario G, La Canna G, Zogno M, Alfieri O (1998) The double orifice technique, a simplified method to correct mitral insufficiency. Eur J Cardiothorac Surg 13:240–246PubMedCrossRefGoogle Scholar
  13. 13.
    Fedak PW, McCarthy PM, Bonow RO (2008) Evolving concepts and technologies in mitral valve repair. Circulation 117:963–974PubMedCrossRefGoogle Scholar
  14. 14.
    Perier P, Hohenberger W, Lakew F, Batz G, Urbanski P, Zacher M, Diegeler A (2008) Toward a new paradigm for the reconstruction of posterior leaflet prolapse: midterm results of the “respect rather than resect” approach. Ann Thorac Surg 86:718–725PubMedCrossRefGoogle Scholar
  15. 15.
    Grodin D, Lepage G, Castonguay Y, Meere C (1967) The tricuspid valve: a surgical challenge. J Thorac Cardiovasc Surg 53:7–20Google Scholar
  16. 16.
    Dreyfus GD, Corbi PJ, Chan KMJ et al (2005) Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair? Ann Thorac Surg 79:127–132PubMedCrossRefGoogle Scholar
  17. 17.
    Topilsky Y, Khanna AD, Oh JK, Nishimura RA, Enriquez-Sarano M, Jeon YB, Sundt TM, Schaff HV, Park SJ (2011) Preoperative factors associated with adverse outcome after tricuspid valve replacement. Circulation 123(18):1929–1939PubMedCrossRefGoogle Scholar
  18. 18.
    Rizzoli G, Vendramin I, Nesseris G, Bottio T, Guglielmi C, Schiavon L (2004) Biological or mechanical prostheses in tricuspid position? A meta-analysis of intra-institutional results. Ann Thorac Surg 77:1607–1614PubMedCrossRefGoogle Scholar
  19. 19.
    Kay JH, Maselli-Campagna G, Tsuji HK (1965) Surgical treatment of tricuspid insufficiency. Ann Surg 162:53–58PubMedCrossRefGoogle Scholar
  20. 20.
    De Vega NG (1972) La anuloplastia selective, regulable y permanente. Rev Esp Cardiol 25:555–556PubMedGoogle Scholar
  21. 21.
    Cabrol C (1972) Annuloplastie valvulaire: un nouveau procede. Nouv Press Med 1:1366Google Scholar
  22. 22.
    Antunes MJ, Girdwood RW (1983) Tricuspid annuloplasty: a modified technique. Ann Thorac Surg 35:676–678PubMedCrossRefGoogle Scholar
  23. 23.
    Revuelta JM, Garcia-Rinaldi R (1989) Segmental tricuspid annuloplasty: a new technique. J Thorac Cardiovasc Surg 97:799–801PubMedGoogle Scholar
  24. 24.
    McCarthy PM, Bhudia SK, Rajeswaran J, Hoercher KJ, Lytle BW, Cosgrove DM, Blackstone EH (2004) Tricuspid valve repair: durability and risk factors for failure. J Thorac Cardiovasc Surg 127:674–685PubMedCrossRefGoogle Scholar
  25. 25.
    Mohsen MO, Aziz Eglal Abd El, Salam Mustafa Abd El, Ramadan M (2002) Tricuspid annuloplasty with autologous fixed pericardial C-shaped strip: early and late results. J Egypt Soc Cardiothorac Surg 10(2):2001–2013Google Scholar
  26. 26.
    Carpentier A, Deloche A, Hanania G, Forman J, Sellier P, Piwnica A et al (1974) Surgical management of acquired tricuspid valve disease. J Thorac Cardiovasc Surg 67:53–65PubMedGoogle Scholar
  27. 27.
    Cosgrove DM 3rd, Arcidi JM, Rodriguez L, Stewart WJ, Powell K, Thomas JD (1995) Initial experience with the Cosgrove-Edwards annuloplasty system. Ann Thorac Surg 60:499–503; discussion 504PubMedCrossRefGoogle Scholar
  28. 28.
    Filsoufi F, Salzberg SP, Coutu M, Adams DH (2006) A three-dimensional ring annuloplasty for the treatment of tricuspid regurgitation. Ann Thorac Surg 81:2273–2277PubMedCrossRefGoogle Scholar
  29. 29.
    Lapenna E, De Bonis M, Verzini A et al (2010) The Clover technique for the treatment of complex tricuspid valve insufficiency: midterm clinical and echocardiographic results in 66 patients. Eur J Cardiothorac Surg 37:1297–1303PubMedCrossRefGoogle Scholar
  30. 30.
    Dreyfus GD, Raja SG, John Chan KM (2008) Tricuspid leaflet augmentation to address severe tethering in functional tricuspid regurgitation. Eur J Cardiothorac Surg 34:908–910PubMedCrossRefGoogle Scholar
  31. 31.
    Kappert U, Tugtekin SM, Ouda A et al (2008) Right ventricular reduction as an adjunct procedure in tricuspid valve repair. Ann Thorac Surg 85:e27–e29PubMedCrossRefGoogle Scholar
  32. 32.
    Deck JD, Thubrikar MJ, Schneider PJ, Nolan SP (1988) Structure, stress, and tissue repair in aortic valve leaflets. Cardiovasc Res 22(1):7–16PubMedCrossRefGoogle Scholar
  33. 33.
    Duran CG (1988) Reconstructive techniques for rheumatic aortic valve disease. J Card Surg 3(1):23–28PubMedCrossRefGoogle Scholar
  34. 34.
    Shapira N, Lemole GM, Fernandez J, Daily PO, Dembitsky WP, O’Yek V, Haghighi P, Stewart J, Marsh DG, Bloor CM (1990) Aortic valve repair for aortic stenosis in adults. Ann Thorac Surg 50(1):110–120PubMedCrossRefGoogle Scholar
  35. 35.
    Cosgrove DM, Rosenkranz ER, Hendren WG, Bartlett JC, Stewart WJ (1991) Valvuloplasty for aortic insufficiency. J Thorac Cardiovasc Surg 102(4):571–576; discussion 576–577PubMedGoogle Scholar
  36. 36.
    Sarsam MA, Yacoub M (1993) Remodeling of the aortic valve anulus. J Thorac Cardiovasc Surg 105(3):435–438PubMedGoogle Scholar
  37. 37.
    David TE (1994) Aortic valve repair in patients with Marfan syndrome and ascending aorta aneurysms due to degenerative disease. J Card Surg 9 [Suppl 2]:182–187PubMedCrossRefGoogle Scholar
  38. 38.
    Antunes MJ (1997) Aortic valve repair: still a dream? Eur J Cardiothorac Surg 11(2):266–267PubMedCrossRefGoogle Scholar
  39. 39.
    Grinda JM, Latremouille C, Berrebi AJ, Zegdi R, Chauvaud S, Carpentier AF, Fabiani JN, Deloche A (2002) Aortic cusp extension valvuloplasty for rheumatic aortic valve disease: midterm results. Ann Thorac Surg 74(2):438–443PubMedCrossRefGoogle Scholar
  40. 40.
    discussion S1792–S1799PubMedCrossRefGoogle Scholar
  41. 41.
    Carr JA, Savage EB (2004) Aortic valve repair for aortic insufficiency in adults: a contemporary review and comparison with replacement techniques. Eur J Cardiothorac Surg 25(1):6–15PubMedCrossRefGoogle Scholar
  42. 42.
    El Khoury G, Vanoverschelde JL, Glineur D, Poncelet A, Verhelst R, Astarci P, Underwood MJ, Noirhomme P (2004) Repair of aortic valve prolapse: experience with 44 patients. Eur J Cardiothorac Surg 26(3):628–633PubMedCrossRefGoogle Scholar
  43. 43.
    Langer F, Aicher D, Kissinger A, Wendler O, Lausberg H, Fries R, Schäfers HJ (2004) Aortic valve repair using a differentiated surgical strategy. Circulation 110 [11 Suppl 1]:267–273Google Scholar
  44. 44.
    Talwar S, Saikrishna C, Saxena A, Kumar AS (2005) Aortic valve repair for rheumatic aortic valve disease. Ann Thorac Surg 79(6):1921–1925PubMedCrossRefGoogle Scholar
  45. 45.
    El Khoury G, Vanoverschelde JL, Glineur D, Pierard F, Verhelst RR, Rubay J, Funken JC, Watremez C, Astarci P, Lacroix V, Poncelet A, Noirhomme P (2006) Repair of bicuspid aortic valves in patients with aortic regurgitation. Circulation 114 [Suppl 1]:1610–1616Google Scholar
  46. 46.
    Lausberg HF, Aicher D, Kissinger A, Langer F, Fries R, Schäfers HJ (2006) Valve repair in aortic regurgitation without root dilatation—aortic valve repair. Thorac Cardiovasc Surg 54(1):15–20PubMedCrossRefGoogle Scholar
  47. 47.
    De La Zerda DJ, Cohen O, Fishbein MC, Odim J, A Calderon C, Hekmat D, Dinov I, Laks H (2007) Aortic valve-sparing repair with autologous pericardial leaflet extension has a greater early re-operation rate in congenital versus acquired valve disease. Eur J Cardiothorac Surg 31(2):256–260CrossRefGoogle Scholar
  48. 48.
    Lansac E, Di Centa I, Raoux F, Al Attar N, Acar C, Joudinaud T, Raffoul RA (2008) Lesional classification to standardize surgical management of aortic insufficiency towards valve repair. Eur J Cardiothorac Surg 33(5):872–878; discussion 878–880CrossRefGoogle Scholar
  49. 49.
    de Kerchove L, Glineur D, Poncelet A, Boodhwani M, Rubay J, Dhoore W, Noirhomme P, El Khoury G (2008) Repair of aortic leaflet prolapse: a ten-year experience. Eur J Cardiothorac Surg 34(4):785–791PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  • Ruggero De Paulis
    • 1
  • Andrea Salica
    • 1
  • Raffaele Scaffa
    • 1
  • Luca Weltert
    • 1
  1. 1.Cardiac Surgery DepartmentEuropean HospitalRomeItaly

Personalised recommendations