Skip to main content
Log in

Kay's mitral valve repair for mitral regurgitation due to ruptured chordae tendineae clinical and hemodynamic observations

  • Original Communications
  • Published:
The Japanese journal of surgery Aims and scope Submit manuscript

Abstract

Kay's mitral valve repair was performed in six consecutive patients with symptomatic mitral regurgitation due to ruptured chordae tendineae of the posterior leaflet. All patients including one with mild residual murmur showed a marked decrease in the heart size and significant clinical improvement. Postoperative hemodynamic studies, performed in four patients, showed restoration of normal or near-normal dynamics. The medium-term follow-up, 15 to 30 months after the operation, revealed continuing asymptomatic states in all. The function of the repaired valves was significantly better than that of the Hancock mitral bioprostheses. The advantages of this procedure compared with mitral valve replacement for the same condition were stressed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Macmanus, Q., Grunkemeier, G. L., Lambert, L. E., Teply, J. F., Harlan, B. J. and Starr, A.: Year of operation as a risk factor in the late results of valve replacement. J. Thorac. Cardiovasc. Surg. 80: 834–841, 1980.

    PubMed  CAS  Google Scholar 

  2. Björk, V. O. and Henze, A.: Ten years' experience with the Björk-Shiley tilting disc valve. J. Thorac. Cardiovasc. Surg. 78: 331–342, 1979.

    PubMed  Google Scholar 

  3. Oyer, P. E., Stinson, E. B., Griepp, R. B. and Shumway, N. E.: Valve replacement with the Starr-Edwards and Handcock Prostheses. Comparative analysis of late morbidity and mortality. Ann. Surg. 186: 301–309, 1977.

    PubMed  CAS  Google Scholar 

  4. Rossiter, S. J., Stinson, E. B., Oyer, P. E., Miller, D. C., Schapira, J. N., Martin, R. P. and Shumway, N. E.: Prosthetic valve endocarditis. Comparison of heterograft tissue valves and mechanical valves. J. Thorac. Cardiovasc. Surg. 76: 795–803, 1978.

    PubMed  CAS  Google Scholar 

  5. Kay, J. H. and Egerton, W. S.: The repair of mitral insufficiency associated with ruptured chordae tendineae. Ann. Surg. 157: 351–360, 1963.

    PubMed  CAS  Google Scholar 

  6. Kay, J. H., Zubiate, P., Mendez, M. A., Vanstrom, N. and Yokoyama, T.: Mitral valve repair for significant mitral insufficiency. Am. Heart J. 96: 253–262, 1978.

    Article  PubMed  CAS  Google Scholar 

  7. Gorlin, R. and Gorlin, S. G.: Hydraulic formula for calculation of the area of the stenotic mitral valve, other cardiac valves, and central circulatory shunts. I. Am. Heart J. 41: 1–29, 1951.

    Article  PubMed  CAS  Google Scholar 

  8. Hill, D. G., Davies, M. J. and Braimbridge, M. V.: The natural history and surgical management of the redundant cusp syndrome (floppy mitral valve). J. Thorac. Cardiovasc. Surg. 67: 519–525, 1974.

    PubMed  CAS  Google Scholar 

  9. Singh, R., Schrank, J. P., Nolan, S. P. and McGuire, L. B.: Spontaneous rupture of mitral chordae tendineae. J. A. M. A. 219: 189–193, 1972.

    PubMed  CAS  Google Scholar 

  10. Kremkau, E. L., Gilbertson, P. R. and Bristow, J. D.: Acquired, nonrheumatic mitral regurgitation. Clinical management with emphasis on evaluation of myocardial performance. Prog. Cardiovasc. Dis. 15: 403–425, 1973.

    PubMed  CAS  Google Scholar 

  11. Selzer, A., Kelly, J. J. Jr., Kerth, W. J. and Gerbode, F.: Immediate and long-range results of valvuloplasty for mitral regurgitation due to ruptured chordae tendineae. Circulation 45, 46 (Suppl 1): 52–56, 1972.

    Google Scholar 

  12. Ross, B. A., Fox, C., Brown, A. H., Webb-Peploe, M. and Braimbridge, M. V.: Late results of valvoplasty for mitral regurgitation due to rupture of chordae of the posterior (mural) cusp. J. Thorac. Cardiovasc. Surg. 71: 533–536, 1976.

    PubMed  CAS  Google Scholar 

  13. Pomerance, A.: Pathology and valvular heart disease. Br. Heart J. 34: 437–443, 1972.

    PubMed  CAS  Google Scholar 

  14. Guthrie, R. B. and Edwards, J. E.: Pathology of the myxomatous mitral valve. Nature, secondary changes and complications. Minn. Med. 59: 637–647, 1976.

    PubMed  CAS  Google Scholar 

  15. Salomon, N. W., Stinson, E. B., Griepp, R. B. and Shumway, N. E.: Surgical treatment of degenerative mitral regurgitation. Am. J. Cardiol. 38: 463–468, 1976.

    Article  PubMed  CAS  Google Scholar 

  16. Kay, J. H., Zubiate, P., Mendez, A. M., Carpena, C., watanabe, K. and Magidson, O.: Mitral valve repair for patients with pure mitral insufficiency. 1-to 15-year follow-up. J.A.M.A. 236: 1584–1586, 1976.

    Article  PubMed  CAS  Google Scholar 

  17. McGoon, D. C.: Repair of mitral insufficiency due to ruptured chordae tendineae. J. Thorac. Cardiovasc. Surg. 39: 357–362, 1960.

    Google Scholar 

  18. Tandon, A. P., Sengupta, S. M., Lukacs, L. and Ionescu, M. I.: Long-term clinical and hemodynamic evaluation of the Ionescu-Shiley pericardial xenograft and the Braunwald-Cutter and Björk-Shiley prostheses in the mitral position. J. Thorac. Cardiovasc. Surg. 76: 763–770, 1978.

    PubMed  CAS  Google Scholar 

  19. Lurie, A. J., Miller, R. R., Maxwell, K. S., Grehl, T. M., Vismara, L. A., Hurley, E. J. and Mason, D. T.: Hemodynamic assessment of the glutaraldehyde preserved porcine heterograft in the aortic and mitral positions. Circulation 56 (Suppl 2): 104–110, 1977.

    Google Scholar 

  20. Pyle, R. B., Mayer, J. E. Jr., Lindsay, W. G., Jorgensen, C. R., Wang, Y. and Nicoloff, D. M.: Hemodynamic evaluation of Lillehei-Kaster and Starr-Edwards prostheses. Ann. Thorac. Surg. 26: 336–343, 1978.

    Article  PubMed  CAS  Google Scholar 

  21. Brown, J. W., Myerowitz, P. D., Cann M. S., Colvin, S. B., McIntosh, C. L. and Morrow, A. G.: Clinical and hemodynamic comparisons of Kay-Shiley, Starr-Edwards No. 6520, and Reis-Hancock porcine xenograft mitral valves. Surgery 76: 983–991, 1974.

    PubMed  CAS  Google Scholar 

  22. Björk, V. O., Böök, K. and Holmgren, A.: The Björk-Shiley mitral valve prosthesis. A comparative study with different prosthesis orientations. Ann. Thorac. Surg. 18: 379–390, 1974.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Matsui, K., Sese, A., Kado, H. et al. Kay's mitral valve repair for mitral regurgitation due to ruptured chordae tendineae clinical and hemodynamic observations. The Japanese Journal of Surgery 13, 90–95 (1983). https://doi.org/10.1007/BF02469526

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02469526

Key Words

Navigation