Mitral valve repair for advanced XXXX with @entity572 of the mitral annulus.

@entity1 @entity339 @entity572 @entity19020 @entity204 @entity528
OBJECTIVE: This study examines the outcomes of mitral valve repair in a defined group of @entity1 with @entity339 caused by advanced @entity528 . METHODS: Advanced @entity19020 was defined as a degenerative process whereby both leaflets are voluminous and aneurysmal and the mitral annulus diameter exceeds 40 mm and has @entity572 , as determined by means of echocardiographic analysis. Over a 16-year period, we identified 183 @entity1 who underwent valve repair in this subgroup of @entity528 . The repair consisted of relocating the posterior mitral annulus to the endocardium of the left ventricle at the atrioventricular junction, correction of leaflet prolapse, and annuloplasty. Analysis of perioperative variables and postoperative outcomes were undertaken. The mean follow-up was 5.9 +/- 4.2 years and complete. RESULTS: The @entity1 ' mean age was 52 years, and 118 were @entity1 . All @entity1 had @entity339 preoperatively. There were no early and only 8 late @entity204 (2 valve-related @entity204 ). The survival at 10 years was 92% +/- 3%. Six @entity1 required reoperation on the mitral valve, 5 for recurrent severe @entity339 . The freedom from reoperation at 10 years was 93% +/- 3%. Six @entity1 had severe and 21 had moderate @entity339 . The freedom from recurrent moderate or severe @entity339 at 10 years was 80% +/- 5%. We could not identify independent predictors of recurrent @entity339 . CONCLUSIONS: Mitral valve repair for advanced @entity528 on the mitral valve provides excellent early functional results, but late recurrent regurgitation is common, despite correction of dilated and displaced mitral annulus and leaflet prolapse.
