Similar long-term results of mitral valve repair for anterior compared with posterior leaflet prolapse.

摘要: Objective The results of mitral valve repair for anterior leaflet prolapse have been less gratifying than those reported posterior prolapse. We compared the long-term durability 2 different surgical techniques: edge-to-edge repair, which is used treatment prolapse, and quadrangular resection, has adopted correction Methods From 1991 through April 2004, 133 patients with 605 caused by degenerative disease underwent repair. was resection leaflet, or without sliding plasty, All received a concomitant annuloplasty procedure. Results No hospital deaths occurred in group, whereas (0.3%) died group ( P = .7). Follow-up 100% 97.2% complete groups, respectively. At 10 years, overall survival 91% ± 4.06% 93.5% 1.81% .18), freedom from cardiac death 95.8% 2.83% 97.4% 0.95% .27). Freedom reoperation 96% 2.3% 96.5% 1.18% .37). follow-up (mean, 4.5 3.12 years; range, 1 month-13.2 years), New York Heart Association functional class I II documented 93.2% 92.8% .98). Conclusions setting are similar to obtained