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September 18, 2001Circulation

Long-Term (29 Years) Results of Reconstructive Surgery in Rheumatic Mitral Valve Insufficiency

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Population

951 patients with rheumatic mitral valve insufficiency, mean age 25.8 years, 63% in sinus rhythm.

Design

Cohort

Follow-up

mean 12 years (maximum, 29 years)

Authors

SCSylvain ChauvaudSuez (France)JFJean‐François FuzellierCentre Hospitalier Universitaire de ReimsABAlain BerrebiUniversity of Calgary

Discussion

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Implication

Reassuring long-term survival after rheumatic mitral repair supports its consideration; leaves optimal reoperation timing open for prospective trials.

Structured PICO

P
Population
951 patients with rheumatic mitral valve insufficiency (excluding aortic valve diseases), mean age 25.8 years (range 4 to 75), 63% in sinus rhythm.
I
Intervention
Reconstructive surgery using Carpentier techniques (implantation of a prosthetic ring in 95%, shortening of the chords and leaflet enlargement with autologous pericardium, and commissurotomy).
O
Outcome
Actuarial survival and freedom from reoperationhard clinical

Conservative reconstructive surgery for rheumatic mitral valve insufficiency provides excellent long-term survival and low thromboembolic risk, though freedom from reoperation declines to 55% at 20 years due to progressive fibrosis.

Cite This Study

Chauvaud et al. (2001) studied this question.

synapsesocial.com/papers/6a7256d526a7f98052de3e9dhttps://doi.org/10.1161/hc37t1.094707

Topics

Mitral valve intervention
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A feasibility study of valve repair in rheumatic mitral regurgitation1991 · 20 citations
  2. 2Valve Repair in Rheumatic Mitral Disease: An Unsolved Problem1994 · 95 citations
  3. 3Repair of the mitral valve because of pure rheumatic mitral valvar incompetence in the young1998 · 17 citations