Morgan L. Brown, MD, Hartzell V. Schaff, MD, Zhuo Li, MS, Rakesh M

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Presentation transcript:

Results of mitral valve annuloplasty with a standard-sized posterior band: Is measuring important?  Morgan L. Brown, MD, Hartzell V. Schaff, MD, Zhuo Li, MS, Rakesh M. Suri, MD, Richard C. Daly, MD, Thomas A. Orszulak, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 138, Issue 4, Pages 886-891 (October 2009) DOI: 10.1016/j.jtcvs.2009.01.022 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Description of patient cohort identified for this study. MV, Mitral valve; CAD, coronary artery disease. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 886-891DOI: (10.1016/j.jtcvs.2009.01.022) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Band (63 mm) is sutured to posterior annulus with 7 to 9 pledgeted mattress sutures. By permission of Mayo Foundation for Medical Education and Research. All rights reserved. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 886-891DOI: (10.1016/j.jtcvs.2009.01.022) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Survival after mitral valve (MV) repair with standard-sized annuloplasty band. Patients with mitral valve repair are compared with age- and gender-matched population. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 886-891DOI: (10.1016/j.jtcvs.2009.01.022) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Mitral valve (MV) regurgitation (MR, A) and mean (±SD) mitral valve gradients (B) at discharge after mitral valve repair with standard-sized annuloplasty. After stratification by patient size, there were no differences among small, medium, and large patients. BSA, Body surface area; BMI, body mass index. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 886-891DOI: (10.1016/j.jtcvs.2009.01.022) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Cumulative risk of mitral valve reoperation. Patients who died or were unavailable for follow-up were censored in this analysis. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 886-891DOI: (10.1016/j.jtcvs.2009.01.022) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions