MITRAL-VALVE REPAIR USING A FLEXIBLE AND ADJUSTABLE ANNULOPLASTY RING

Citation
Me. Gorton et al., MITRAL-VALVE REPAIR USING A FLEXIBLE AND ADJUSTABLE ANNULOPLASTY RING, The Annals of thoracic surgery, 55(4), 1993, pp. 860-863
Citations number
10
ISSN journal
00034975
Volume
55
Issue
4
Year of publication
1993
Pages
860 - 863
Database
ISI
SICI code
0003-4975(1993)55:4<860:MRUAFA>2.0.ZU;2-1
Abstract
Initial experience with a new flexible and adjustable mitral annulopla sty ring is described. Used in conjunction with standard techniques of mitral valve repair, this ring was implanted in 21 consecutive patien ts undergoing elective operation for mitral regurgitation. Satisfactor y valve repair was feasible in 20 of these patients. Once the ring was sewn in place, adjustment of the ring to reduce or eliminate residual regurgitation was beneficial in 9 patients. Excellent results were ac hieved as determined by intraoperative transesophageal echocardiograph y. Comparable late results were found in all but 1 patient up to 1 yea r after repair. This patient required mitral valve replacement 6 month s after repair due to failure of papillary muscle reconstruction. The BiFlex ring has the merits of a flexible prosthesis with the advantage of easy adjustment once secured in place.