Surgery for congenital mitral valve disease in the first year of life

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Presentation transcript:

Surgery for congenital mitral valve disease in the first year of life Miguel Sousa Uva, MD (by invitation), Lorenzo Galletti, MD (by invitation), François Lacour Gayet, MD (by invitation), Dominique Piot, MD (by invitation), A. Serraf, MD (by invitation), Jacqueline Bruniaux, MD (by invitation), Juan Comas, MD (by invitation), R. Roussin, MD (by invitation), A. Touchot, MD (by invitation), Jean Paul Binet, MD, Claude Planché, MD The Journal of Thoracic and Cardiovascular Surgery Volume 109, Issue 1, Pages 164-176 (January 1995) DOI: 10.1016/S0022-5223(95)70432-9 Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 Subcostal four-chamber two-dimensional echocardiographic view of a parachute mitral valve with direct attachment of the two leaflets into a single papillary muscle (patient 18). LA, Left atrium; RV, right ventricle; RA, right atrium; PM, papillary muscle. The Journal of Thoracic and Cardiovascular Surgery 1995 109, 164-176DOI: (10.1016/S0022-5223(95)70432-9) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Four-chamber apical two-dimensional echocardiographic view of a hammock mitral valve (patient 19). Note the direct leaflet attachment to a posterior papillary muscle with absent chordae. LA, Left atrium; LV, left ventricle; M, mitral valve; PM, papillary muscle; RV, right ventricle. The Journal of Thoracic and Cardiovascular Surgery 1995 109, 164-176DOI: (10.1016/S0022-5223(95)70432-9) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 Actuarial freedom from reoperation. Freedom from reoperation at 7 years is 58% (70% CL 46.9% to 68.9%) for the entire group, 61.2% (70% CL 45.6% to 76.9%) for patients with MI, and 54.8% (70% CL 39.4% to 70.3%) for patients with MS. The Journal of Thoracic and Cardiovascular Surgery 1995 109, 164-176DOI: (10.1016/S0022-5223(95)70432-9) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 4 Actuarial survival curve. Actuarial survival at 7 years is 94.1% (70% CL 88% to 100%). The Journal of Thoracic and Cardiovascular Surgery 1995 109, 164-176DOI: (10.1016/S0022-5223(95)70432-9) Copyright © 1995 Mosby, Inc. Terms and Conditions