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November 1, 2004Journal of Cardiac Surgery

Evaluation of the Mitral Valve Leaflet Morphology after Mitral Valve Reconstruction with a Concept "Coaptation Length Index"

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Key result

Mitral valve ring annuloplasty linked to ~175% higher coaptation length index, correlating with less residual MR.

  • n=36

Why the study?

Information on mitral valve leaflet morphology after mitral valve reconstruction is limited in clinical settings.

Does mitral valve ring annuloplasty improve mitral valve leaflet morphology and reduce residual mitral regurgitation in patients with mitral regurgitation?

Population

36 patients undergoing mitral valve repair for mitral regurgitation

Comparison

Mitral valve ring annuloplasty vs pre-operative state

Design

Observational case series

Authors

TYTakashi YamauchiKringle Pharma (Japan)KTKazuhiro TaniguchiYasuda Women's UniversitySKSatoru KukiTakarazuka City Hospital

Discussion

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Implication

May support annuloplasty to improve coaptation and lessen residual MR; leaves open need for prospective validation.

Study Design

Type

Observational (n=36)

Structured PICO

Does mitral valve ring annuloplasty improve mitral valve leaflet morphology and reduce residual mitral regurgitation in patients with mitral regurgitation?

P
Population
36 patients undergoing mitral valve repair for mitral regurgitation, with detailed transesophageal echocardiography measurements analyzed in 11 cases.
E
Exposure
Mitral valve ring annuloplasty
C
Comparator
Pre-operative state
O
Outcome
Mitral valve leaflet morphology (MVd, Vd, CL, CLI) and residual MR measured by two-dimensional transesophageal echocardiographysurrogate

Mitral valve ring annuloplasty increases the coaptation length index, which correlates negatively with residual mitral regurgitation.

Cite This Study

Yamauchi et al. (2004) conducted an observational in Mitral regurgitation (n=36). Mitral valve ring annuloplasty vs. Pre-operative baseline was evaluated on Coaptation length index (CLI). Mitral valve ring annuloplasty significantly increased the coaptation length index (from 0.16 to 0.44), which had a significant negative correlation with the degree of residual mitral regurgitation.

synapsesocial.com/papers/6aabccf73f7780684316e01ahttps://doi.org/10.1111/j.0886-0440.2004.200329.x

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. 1Improved results with mital valve repair using new surgical techniques1995 · 279 citations
  2. 2Variations in Annuloplasty Ring and Sizer Dimensions May Alter Outcome in Mitral Valve Repair1997 · 97 citations
  3. 3Mechanism of ischemic mitral regurgitation. An experimental evaluation.1991 · 264 citations