Late results of mitral valve repair for XXXX .

@entity1 @entity64 @entity339 @entity887 @entity736
OBJECTIVE: This study was undertaken to evaluate the long-term results of mitral valve repair for @entity339 . METHODS: Between 1991 and 2000, 301 @entity1 with @entity339 underwent mitral valve repair. There were 167 @entity1 and 134 @entity1 whose mean age was 56 +/- 14 years. The @entity1 were comprised of 7 @entity1 in Carpentier's type I, 277 @entity1 in type II, and 17 @entity1 in type III. Chordal replacement with expanded @entity736 sutures had been prospectively applied to repair the anterior mitral leaflet prolapse. Ring annuloplasty was performed in 230 @entity1 (76%). The follow-up was complete and mean follow-up was 67 +/- 33 months, for a cumulative follow-up of 1,624 @entity1 -years. RESULTS: There were 5 hospital deaths and 11 late deaths (2 cardiac and 9 noncardiac). All survivors except those with @entity64 were in the New York Heart Association (NYHA) functional class I or II. At 10 years, the actuarial survival was 90 +/- 3%, the freedom from @entity887 was 86 +/- 4%, the freedom from reoperation was 96 +/- 2%, and the freedom from valve-related events was 77 +/- 4%. At 10 years, the freedom from reoperation in the @entity1 with anterior leaflet prolapse was 90 +/- 5%. CONCLUSIONS: Mitral valve repair is feasible in most @entity1 with @entity339 and is associated with low mortality and low rates of valve related events. Chordal replacement with expanded @entity736 sutures is effective, safe, and durable at long-term follow-up for @entity1 with anterior leaflet prolapse.
