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  • Title: [Mitral valve repair for mitral regurgitation].
    Author: García-Orta R, Moreno-Escobar E, Ruiz-López MF, Vidal-Alarcón M, Lara-Torrano J, Azpitarte J.
    Journal: Rev Esp Cardiol; 2006 Jul; 59(7):743-6. PubMed ID: 16938219.
    Abstract:
    We analyzed the results of mitral valve repair in 81 consecutive patients with severe mitral regurgitation. Of these patients, 66.6% had myxomatous degeneration, 11% ischemic disease, 8% chordal rupture, 5% congenital disease, and 3.7% endocarditis. Repair could not be achieved in five patients, and valve replacement was necessary. Six died during surgery (mortality 7%). During follow-up (mean 30 [8] months), there was one death due to refractory ischemic heart failure and mitral regurgitation (>or= 2/4) was observed in 11 patients. A good result (i.e., survival without a prosthesis, major complications, or mitral regurgitation >1/4) was obtained in 78% of patients with myxomatous degeneration versus 48% of those with other etiologies (P=.023). A good result was obtained more frequently in cases of isolated posterior cusp degeneration than in those involving degeneration of both cusps (85% vs 70%; P=.03).
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