Late Results of Mitral Valve Repair With Glutaraldehyde-Treated Autologous Pericardium Yu Shomura, MD, Yukikatsu Okada, MD, Michihiro Nasu, MD, Tadaaki.

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Late Results of Mitral Valve Repair With Glutaraldehyde-Treated Autologous Pericardium Yu Shomura, MD, Yukikatsu Okada, MD, Michihiro Nasu, MD, Tadaaki Koyama, MD, Mitsuru Yuzaki, MD, Takashi Murashita, MD, Naoto Fukunaga, MD, Yasunobu Konishi, MD The Annals of Thoracic Surgery Volume 95, Issue 6, Pages 2000-2005 (June 2013) DOI: 10.1016/j.athoracsur.2013.02.024 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Schema of typical pericardial patch. (A) Congenital cleft. (B) Anterior mitral leaflet augmentation for rheumatic mitral regurgitation. (C) Posterior mitral leaflet augmentation to prepare coaptation for central leakage. (D) Bileaflet reconstruction for infective endocarditis. Expanded polytetrafluoroethylene new chordae were required for selected patients in (A) and (D). The Annals of Thoracic Surgery 2013 95, 2000-2005DOI: (10.1016/j.athoracsur.2013.02.024) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Actuarial survival after mitral valve repair with glutaraldehyde-treated autologous pericardium. The Annals of Thoracic Surgery 2013 95, 2000-2005DOI: (10.1016/j.athoracsur.2013.02.024) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Actuarial freedom from mitral regurgitation grade more than 2+ after mitral valve repair with glutaraldehyde-treated autologous pericardium. The Annals of Thoracic Surgery 2013 95, 2000-2005DOI: (10.1016/j.athoracsur.2013.02.024) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Actuarial freedom from reoperation after mitral valve repair with glutaraldehyde-treated autologous pericardium. The Annals of Thoracic Surgery 2013 95, 2000-2005DOI: (10.1016/j.athoracsur.2013.02.024) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Reoperation findings at 19 years after posterior mitral leaflet augmentation with glutaraldehyde-treated autologous pericardium. Intraoperative assessment confirmed absence of calcification on glutaraldehyde-treated autologous pericardium (arrows). The Annals of Thoracic Surgery 2013 95, 2000-2005DOI: (10.1016/j.athoracsur.2013.02.024) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions