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Long-term results after reconstruction of a new annulus in heavily calcified mitral annulus.

Abstract

BACKGROUND AND AIM OF THE STUDY

In 2009 our group described a new surgical technique for patients with severe mitral valve calcification undergoing mitral valve surgery. This technique creates a new mitral annulus with plication of the mitral leaflet and the atrial wall. Our objective is to report the long-term results of the experience at our institution.

MATERIALS, METHODS, AND RESULTS

From 2007 to 2016, a total of 18 patients (mean age 70.5 ± 7.8 years) underwent mitral valve replacement at our institution with this technique. One patient died on the second postoperative day. Clinical and echocardiographic in-hospital and long-term follow-up (55.5 ± 40.4 months) were performed on all the remaining 17 patients. Functional improvement was achieved in all patients. Two patients died 6 and 8 years after surgery (cancer and hemorrhagic stroke). No prosthetic dysfunction, periprosthetic leak, or annular dehiscence were detected in the long-term echocardiographic examinations.

CONCLUSIONS

The reconstruction of the mitral annulus by using our technique in patients with severe calcification of the mitral annulus has low long-term mortality, good functional results, and a lack of prosthetic complications.

Authors+Show Affiliations

Department of Cardiac Surgery, University Hospital of Valladolid, Spain. CIBERCV, University Hospital of Valladolid, Spain.Department of Cardiology, Heart Institute (ICICOR), University Hospital of Valladolid, Spain. CIBERCV, University Hospital of Valladolid, Spain.Department of Cardiac Surgery, University Hospital of Valladolid, Spain.Department of Cardiology, Heart Institute (ICICOR), University Hospital of Valladolid, Spain. CIBERCV, University Hospital of Valladolid, Spain.Department of Cardiology, Heart Institute (ICICOR), University Hospital of Valladolid, Spain. CIBERCV, University Hospital of Valladolid, Spain.Department of Cardiology, Heart Institute (ICICOR), University Hospital of Valladolid, Spain. CIBERCV, University Hospital of Valladolid, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31945210

Citation

Di Stefano, Salvatore, et al. "Long-term Results After Reconstruction of a New Annulus in Heavily Calcified Mitral Annulus." Journal of Cardiac Surgery, 2020.
Di Stefano S, Lopez J, Arce N, et al. Long-term results after reconstruction of a new annulus in heavily calcified mitral annulus. J Card Surg. 2020.
Di Stefano, S., Lopez, J., Arce, N., Revilla, A., Amat-Santos, I., & San Roman, J. A. (2020). Long-term results after reconstruction of a new annulus in heavily calcified mitral annulus. Journal of Cardiac Surgery, doi:10.1111/jocs.14420.
Di Stefano S, et al. Long-term Results After Reconstruction of a New Annulus in Heavily Calcified Mitral Annulus. J Card Surg. 2020 Jan 16; PubMed PMID: 31945210.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term results after reconstruction of a new annulus in heavily calcified mitral annulus. AU - Di Stefano,Salvatore, AU - Lopez,Javier, AU - Arce,Nuria, AU - Revilla,Ana, AU - Amat-Santos,Ignacio, AU - San Roman,Jose Alberto, Y1 - 2020/01/16/ PY - 2020/1/17/entrez PY - 2020/1/17/pubmed PY - 2020/1/17/medline KW - replacement KW - valve repair JF - Journal of cardiac surgery JO - J Card Surg N2 - BACKGROUND AND AIM OF THE STUDY: In 2009 our group described a new surgical technique for patients with severe mitral valve calcification undergoing mitral valve surgery. This technique creates a new mitral annulus with plication of the mitral leaflet and the atrial wall. Our objective is to report the long-term results of the experience at our institution. MATERIALS, METHODS, AND RESULTS: From 2007 to 2016, a total of 18 patients (mean age 70.5 ± 7.8 years) underwent mitral valve replacement at our institution with this technique. One patient died on the second postoperative day. Clinical and echocardiographic in-hospital and long-term follow-up (55.5 ± 40.4 months) were performed on all the remaining 17 patients. Functional improvement was achieved in all patients. Two patients died 6 and 8 years after surgery (cancer and hemorrhagic stroke). No prosthetic dysfunction, periprosthetic leak, or annular dehiscence were detected in the long-term echocardiographic examinations. CONCLUSIONS: The reconstruction of the mitral annulus by using our technique in patients with severe calcification of the mitral annulus has low long-term mortality, good functional results, and a lack of prosthetic complications. SN - 1540-8191 UR - https://www.unboundmedicine.com/medline/citation/31945210/Long-term_results_after_reconstruction_of_a_new_annulus_in_heavily_calcified_mitral_annulus L2 - https://doi.org/10.1111/jocs.14420 DB - PRIME DP - Unbound Medicine ER -