Recurrence of Mitral Valve Regurgitation After Mitral Valve Repair in Degenerative Valve Disease

• DOI: 10.1161/01.cir.0000058703.26715.9d
• Publication Date: 2003-03-31T22:29:42Z
• Authors: Willem Flameng; Paul Herijgers; Kris Bogaerts
• Keywords: Male; Reoperation; Incidence; Heart Valve Diseases; Mitral Valve Insufficiency; Middle Aged; Survival Analysis; Disease-Free Survival; 3. Good health; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Recurrence; Risk Factors; Humans; Mitral Valve; Female; Follow-Up Studies; Ultrasonography

Durability assessment of mitral valve repair for degenerative incompetence is actually limited to reoperation as the primary indicator, with valve-related risk factors late death a secondary indicator. We assessed serial echocardiographic follow-up function an indicator durability repair.In 242 patients who had undergone incompetence, function, rate reoperation, survival, and clinical outcome was studied. At 8 years after repair, excellent, survival 90.9+/-3.2%, freedom from 94.2+/-2.3%, anticoagulation bleeding thromboembolic events 90.4+/-2.7%. However, non-trivial regurgitation (>1/4) 94.3+/-1.6% at 1 month, 58.6+/-4.9% 5 years, 27.2+/-8.6% 7 years. Freedom severe (>2/4) 98.3+/-0.9% 82.8+/-3.8% 71.1+/-7.4% The linearized recurrence 8.3% per year 3.7% year. Inadequate surgical techniques (chordal shortening, no use annuloplasty ring or sliding plasty) could only partially explain regurgitation. In selected did not have these factors, rates were 6.9% 2.5% year, respectively.The successful reconstruction disease constant, this should be taken into account when asymptomatic are offered early repair.