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Mid-term outcomes of simultaneous mitral valve repair in patients with miral regurgitation and concomitant annulo-aortic ectasia

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Abstract

Objective

This study investigated the mid-term outcomes of simultaneous mitral valve repair in patients with mitral regurgitation (MR) and concomitant annulo-aortic ectasia.

Methods

The study included 26 patients with MR and annulo-aortic ectasia [mean age 46.0 ± 19.9 (10–86) years] who underwent simultaneous mitral valve repair between January 2007 and March 2018. Of these 26 patients, 11 (42.3%) were diagnosed with Marfan syndrome and 10 (38.5%) with Barlow’s disease. All patients underwent complete ring annuloplasty; a semi-rigid ring was used in 14 (53.8%) and a semi-flexible ring (anterior-flexible) in 12 patients (46.2%). All patients underwent valve-sparing root replacement using the reimplantation technique.

Results

The overall 3-year survival rate was 95.7 ± 4.3%. The 3-year freedom from > moderate MR rate was 94.7 ± 5.1%, and the 3-year freedom from > moderate aortic regurgitation (AR) rate was 86.7 ± 7.3%. The 3-year freedom from reoperation rate was 100%. The 3-year freedom from > moderate MR rate was 100% in the semi-rigid ring group and 85.7 ± 13.2% in the semi-flexible ring group (log-rank test, p = 0.5371). The 3-year freedom from > moderate AR rate was 100% in the semi-rigid ring group and 72.9 ± 16.5% in the semi-flexible ring group (log-rank test, p = 0.0815).

Conclusions

Simultaneous mitral valve repair in patients with MR and concomitant annulo-aortic ectasia showed favorable mid-term outcomes.

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Authors and Affiliations

  1. Division of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan

    Yojiro Koda, Tatsuya Kawamoto, Koki Yokawa, Soichiro Henmi, Hidekazu Nakai, Katsuhiro Yamanaka, Takeshi Inoue, Hiroshi Tanaka & Yutaka Okita

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  1. Yojiro Koda
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  2. Tatsuya Kawamoto
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  3. Koki Yokawa
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  4. Soichiro Henmi
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  5. Hidekazu Nakai
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  6. Katsuhiro Yamanaka
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  7. Takeshi Inoue
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  8. Hiroshi Tanaka
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  9. Yutaka Okita
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Correspondence to Yutaka Okita.

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Koda, Y., Kawamoto, T., Yokawa, K. et al. Mid-term outcomes of simultaneous mitral valve repair in patients with miral regurgitation and concomitant annulo-aortic ectasia. Gen Thorac Cardiovasc Surg 67, 1014–1020 (2019). https://doi.org/10.1007/s11748-019-01129-z

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  • DOI: https://doi.org/10.1007/s11748-019-01129-z

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