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  • Title: Mitral valve reconstruction: intermediate term results in rheumatic mitral regurgitation.
    Author: Kumar AS, Rao PN.
    Journal: J Heart Valve Dis; 1994 Mar; 3(2):161-4. PubMed ID: 8012633.
    Abstract:
    From January 1988 through December 1992, 281 patients underwent reconstruction of the mitral valve for mitral regurgitation (MR) with or without mitral stenosis (MS). Two hundred and fifteen patients (76.2%) were between 11 and 30 years of age. The cause of mitral regurgitation was rheumatic in 248 patients (88.3%). Combined lesion (MR + MS) was present in 204 (72.6%). The technique included a modification of the posterior collar annuloplasty described by Cooley et al. Operative mortality was 3.9% (11 patients). There were four late deaths. The 270 operative survivors were followed up by physical examination, echocardiography or by a questionnaire mailed to them after March 1993. Follow up data was available in all but 14 patients (95%). The actuarial survival at 66 months was 95.2% and event free survival was 80%. We conclude that mitral valve repair in a mainly rheumatic patient population is feasible, the probability of reoperation is low and the symptomatic relief is gratifying.
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