Reoperation in Mitral Valve Repair for Regurgitant Mitral Valve Disease

Masato Nakajima, Kouji Tsuchiya, Hideki Sasaki, Narutoshi Hibino, Yuji Naito, Hidenori Inoue, Eiki Mizutani

Research output: Contribution to journalArticle

Abstract

Objectives: Reviewing reoperative mitral valve repair, we evaluated a predictor for future reoperation by comparing degenerative and rheumatic mitral regurgitation. Methods: From June 1988 to September 2002, 159 patients with mitral valve regurgitation underwent a variety of surgical reconstruction. Our 9 subjects -2 men and 7 women with a mean age of 55.3 years-including 1 undergoing initial repair at an other hospital, underwent reoperation for mitral valve lesions. Four patients had rheumatic (Group R) and 5 degenerative (Group D) mitral valve disease. We studied reoperative outcomes and initial procedures were retrospectively. Results: The mean interval from initial repair was 111 months. Mitral valve lesions at reoperation in Group D were annular dilation in 3, leaflet prolapse in 1, and suture disruption in 1, while that in Group R involved severe thickening of both leafle. Rerepair was possible in 3 patients of Group D, but all others, (including Group R patients) required valve replacement. All survived reoperation. Conclusions: Rerepair in rheumatic mitral regurgitation, rerepair was difficult. In degenerative mitral valve regurgitation, however, rerepair was possible because procedure-related origin was a major cause of reoperation. Reoperation can be prevented by proper technical improvement at initial repair.

Original languageEnglish (US)
Pages (from-to)237-241
Number of pages5
JournalJapanese Journal of Thoracic and Cardiovascular Surgery
Volume51
Issue number6
StatePublished - Jun 2003
Externally publishedYes

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Mitral Valve
Reoperation
Mitral Valve Insufficiency
Prolapse
Sutures
Dilatation

Keywords

  • Mitral valve regurgitation
  • Mitral valve repair
  • Reoperation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Nakajima, M., Tsuchiya, K., Sasaki, H., Hibino, N., Naito, Y., Inoue, H., & Mizutani, E. (2003). Reoperation in Mitral Valve Repair for Regurgitant Mitral Valve Disease. Japanese Journal of Thoracic and Cardiovascular Surgery, 51(6), 237-241.

Reoperation in Mitral Valve Repair for Regurgitant Mitral Valve Disease. / Nakajima, Masato; Tsuchiya, Kouji; Sasaki, Hideki; Hibino, Narutoshi; Naito, Yuji; Inoue, Hidenori; Mizutani, Eiki.

In: Japanese Journal of Thoracic and Cardiovascular Surgery, Vol. 51, No. 6, 06.2003, p. 237-241.

Research output: Contribution to journalArticle

Nakajima, M, Tsuchiya, K, Sasaki, H, Hibino, N, Naito, Y, Inoue, H & Mizutani, E 2003, 'Reoperation in Mitral Valve Repair for Regurgitant Mitral Valve Disease', Japanese Journal of Thoracic and Cardiovascular Surgery, vol. 51, no. 6, pp. 237-241.
Nakajima M, Tsuchiya K, Sasaki H, Hibino N, Naito Y, Inoue H et al. Reoperation in Mitral Valve Repair for Regurgitant Mitral Valve Disease. Japanese Journal of Thoracic and Cardiovascular Surgery. 2003 Jun;51(6):237-241.
Nakajima, Masato ; Tsuchiya, Kouji ; Sasaki, Hideki ; Hibino, Narutoshi ; Naito, Yuji ; Inoue, Hidenori ; Mizutani, Eiki. / Reoperation in Mitral Valve Repair for Regurgitant Mitral Valve Disease. In: Japanese Journal of Thoracic and Cardiovascular Surgery. 2003 ; Vol. 51, No. 6. pp. 237-241.
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