Conservative surgery for XXXX with regurgitation: clinical follow-up and noninvasive assessment.

@entity1 @entity339 @entity338 @entity3454 @entity887 @entity397 @entity997 @entity1002
To evaluate the result of mitral valve repair in @entity338 due to @entity3454 with or without @entity397 , 11 @entity1 were followed noninvasively for 2.0 to 3.5 years and clinically for at least 5 years in a prospective study. The @entity1 were operated upon before ominous signs of @entity1002 appeared, all @entity1 being in functional class III, with an ejection fraction of at least 0.50 and mean velocity of circumferential fibre shortening above 1.0. There was no operative mortality. No @entity887 occurred during follow-up. Ten of the 11 @entity1 were alive 5 years postoperatively. One @entity1 died 9 months after the initial repair shortly after reoperation for mitral and @entity997 . The other @entity1 all showed definite clinical improvement. Confirming the experience of others, the two @entity1 with ruptured chordae to the anterior mitral leaflet and the only @entity1 with a thick anterior mitral leaflet all had moderate @entity339 postoperatively. Complete repair of @entity3454 is feasible and gives a good functional result of long duration. The results of this study support early mitral repair when complete restoration of ventricular size and function is still possible.
