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Mitral Valve Surgery

  • Bradley J. Harlan
  • Albert Starr
  • Fredic M. Harwin
  • Alain Carpentier

Abstract

The earliest operations on the mitral valve, by Souttar,81 Cutler,23 Bailey,6 and others, were bold surgical feats. Since this pioneering surgery, great advances have been made. The early closed operations have been replaced by open procedures with full visualization of the valve, allowing precise repair or replacement.

Keywords

Mitral Valve Valve Replacement Mitral Regurgitation Papillary Muscle Mitral Stenosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Abascal VM, Wilkins GT, O’Shea JP, Choong CY, Palacios IF, Thomas JD, Rosas E, Newell JB, Block PC, Weyman AE: Prediction of successful outcome in 130 patients undergoing percutaneous balloon mitral valvotomy. Circulation 82:448, 1990.PubMedCrossRefGoogle Scholar
  2. 2.
    Akins CW, Kirklin JK, Block PC, Buckley MJ, Austen MG: Preoperative evaluation of subvalvular fibrosis in mitral stenosis: a predictive factor in conservative vs replacement surgical therapy. Circulation 60(Suppl I):I–71,1979.Google Scholar
  3. 3.
    Allen WB, Karp RB, Kouchoukos NT: Mitral valve replacement: Starr-Edwards cloth-covered composite-seat prosthesis. Arch Surg 109:642,1975.Google Scholar
  4. 4.
    Appelbaum A, Kouchoukos NT, Blackstone EH, Kirklin JW: Early risks of open heart surgery for mitral valve disease. Am J Cardiol 37:201,1976.PubMedCrossRefGoogle Scholar
  5. 5.
    Arom KV, Nicoloff DM, Kersten TE, Northrup WF III, Lindsay WG, Emery RW: Ten years’ experience with the St. Jude medical valve prosthesis. Ann Thorac Surg 47:831,1989.PubMedCrossRefGoogle Scholar
  6. 6.
    Bailey CP: The surgical treatment of mitral stenosis (mitral commissurotomy). Dis Chest 15:377,1949.PubMedCrossRefGoogle Scholar
  7. 7.
    Barlow JB, Pocock WA: Billowing, floppy, prolapsing or flail mitral valves? Am J Cardiol 55:501,1985.PubMedCrossRefGoogle Scholar
  8. 8.
    Bjork VO, Henze A, Rodriguez L: Left ventricular rupture as a complication of mitral valve replacement: surgical experience with eight cases and a review of the literature. J Thorac Cardio vase Surg 73:14,1977.Google Scholar
  9. 9.
    Bonchek LI, Anderson RP, Starr A: Mitral valve replacement with cloth-covered composite-seat prostheses. J Thorac Cardiovasc Surg 67:93,1974.PubMedGoogle Scholar
  10. 10.
    Bonchek LI, Olinger GN, Siegel R, Tresch DD, Keelan MH: Left ventricular performance after mitral reconstruction for mitral regurgitation. J Thorac Cardiovasc Surg 88:122,1984.PubMedGoogle Scholar
  11. 11.
    Braunwald E, Awe NC: The syndrome of severe mitral regurgitation with normal left atrial pressure. Circulation 27:29,1963.PubMedGoogle Scholar
  12. 12.
    Carpentier A: Cardiac valve surgery—the “French correction.” J Thorac Cardiovasc Surg 86:323,1983.PubMedGoogle Scholar
  13. 13.
    Carpentier A, Deloche A, Dauptain J, Soyer R, Prigent CL, Blondeau P, Piwnica A, Dubost C, McGoon DC: A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg 61:1,1971.PubMedGoogle Scholar
  14. 14.
    Chavez AM, Cosgrove DM III, Lytle BW, Gill CC, Loop FD, Stewart RW, Golding LR, Taylor PC: Applicability of mitral valvuloplasty techniques in a North American population. Am J Cardiol 62:253,1988.PubMedCrossRefGoogle Scholar
  15. 15.
    Cohn L: Surgery for mitral regurgitation. JAMA 260:2883,1988.PubMedCrossRefGoogle Scholar
  16. 16.
    Cohn LH, Couper GS, Kinchla NM, Collins JJ Jr: Decreased operative risk of surgical treatment of mitral regurgitation with or without coronary artery disease. J Am Coll Cardiol 16:1575,1990.PubMedCrossRefGoogle Scholar
  17. 17.
    Cohn LH, DiSesa VJ, Couper GS, Peigh PS, Kowalker W, Collins JJ Jr: Mitral valve repair for myxomatous degeneration and prolapse of the mitral valve. J Thorac Cardiovasc Surg 98:987,1989.PubMedGoogle Scholar
  18. 18.
    Cohn LH, Koster JK, Mee RBB, Collins JJ: Long-term follow-up of the Hancock bioprosthetic heart valve: a 6-year review. Circulation 60:(Suppl I): I–87,1979.Google Scholar
  19. 19.
    Come PC, Riley MF, Weintraub RM, Wei JY, Markis JE, Lorell BH, Grossman W: Dynamic left ventricular outflow tract obstruction when the anterior leaflet is retained at prosthetic mitral valve replacement. Ann Thorac Surg 43:561,1987.PubMedCrossRefGoogle Scholar
  20. 20.
    Cosgrove DM, Chavez AM, Lytle BW, Gill CC, Stewart RW, Taylor PC, Goormastic M, Borsh JA, Loop FD: Results of mitral valve reconstruction. Circulation 74(SupplI):I–82,1986.Google Scholar
  21. 21.
    Craver JM, Cohen C, Weintraub WS: Case-matched comparison of mitral valve replacement and repair. Ann Thorac Surg 49:964,1990.PubMedCrossRefGoogle Scholar
  22. 22.
    Craver JM, Jones EL, Guyton RA, Cobbs BW Jr, Hatcher CR Jr: Avoidance of transverse midventricular disruption following mitral valve replacement. Ann Thorac Surg 40:163,1985.PubMedCrossRefGoogle Scholar
  23. 23.
    Cutler EC, Beck CS: The present status of surgical procedures in chronic valvular disease of the heart. Arch Surg 18:403,1929.Google Scholar
  24. 24.
    David TE, Ho WC: The effect of preservation of chordae tendineae on mitral valve replacement for postinfarction mitral regurgitation. Circulation 74(Suppl I): I–116,1986.Google Scholar
  25. 25.
    David TE, Komeda M, Pollick C, Burns RJ: Mitral valve annuloplasty: the effect of the type on left ventricular function. Ann Thorac Surg 47:524,1989.PubMedCrossRefGoogle Scholar
  26. 26.
    David TE, Uden DE, Strauss HD: The importance of the mitral apparatus in left ventricular function after correction of mitral regurgitation. Circulation 68(Suppl II):II–76,1983.Google Scholar
  27. 27.
    Deloche A, Jebara VA, Relland JYM, Chauvaud S, Fabiani JN, Perier P, Dreyfus G, Mihaileanu S, Carpentier A: Valve repair with Carpentier techniques: the second decade. J Thorac Cardiovasc Surg 99:990,1990.PubMedGoogle Scholar
  28. 28.
    Feikes HL, Daugharthy JB, Perry JE, Bell JH, Hieb RE, Johnson GH: Preservation of all chordae tendineae and papillary muscle during mitral valve replacement with a tilting disc valve. J Card Surg 5:81,1990.PubMedCrossRefGoogle Scholar
  29. 29.
    Galloway AC, Colvin SB, Baumann FG, Harty S, Spencer FC: Current concepts of mitral valve reconstruction for mitral insufficiency. Circulation 78:1087,1988.PubMedCrossRefGoogle Scholar
  30. 30.
    Gerami S, Messner BJ, Hallman GL, Cooley DA: Open mitral commissurotomy. J Thorac Cardiovasc Surg 62:366,1971.PubMedGoogle Scholar
  31. 31.
    Glancy DL, O’Brien KP, Reis RL, Epstein SE, Morrow AG: Hemodynamic studies in patients with 2M and 3M Starr-Edwards prostheses: evidence of obstruction to left atrial emptying. Circulation 39(Suppl I):I–113,1969.Google Scholar
  32. 32.
    Goldman ME, Mora F, Guarino T, Fuster V, Mindich BC: Mitral valvuloplasty is superior to valve replacement for preservation of left ventricular function: an intraoperative two-dimensional echocardiographic study. J Am Coll Cardiol 10: 568,1987.PubMedCrossRefGoogle Scholar
  33. 33.
    Goor DA, Mohr R, Lavee J, Serraf A, Smolinsky A: Preservation of the posterior leaflet during mechanical valve replacement for ischemic mitral regurgitation and complete myocardial revascularization. J Thorac Cardiovasc Surg 96:253,1988.PubMedGoogle Scholar
  34. 34.
    Grunkemeier GL, Starr A, Rahimtoola S: Prosthetic heart valve performance: long-term follow-up. Curr Probl Cardiol 17:333,1992.Google Scholar
  35. 35.
    Hansen DE, Cahill PD, Derby GC, Miller DC: Relative contributions of the anterior and posterior mitral chordae tendineae to canine global left ventricular function. J Thorac Cardiovasc Surg 93:45,1987.PubMedGoogle Scholar
  36. 36.
    Hansen DE, Sarris GE, Niczyporuk MA, Derby GC, Cahill PD, Miller DC: Physiologic role of the mitral apparatus in left ventricular regional mechanics, contraction synergy, and global systolic performance. J Thorac Cardiovasc Surg 97:521, 1989.PubMedGoogle Scholar
  37. 37.
    Hennein HA, Swain JA, Mcintosh CL, Bonow RO, Stone CD, Clark RE: Comparative assessment of chordal preservation versus chordal resection during mitral valve replacement. J Thorac Cardiovasc Surg 99:828,1990.PubMedGoogle Scholar
  38. 38.
    Hetzer R, Bougioukas G, Frenz M, Borst HG: Mitral valve replacement with preservation of papillary muscles and chordae tendineae-revival of a seemingly forgotten concept. Thorac Cardiovasc Surg 31:291,1983.PubMedCrossRefGoogle Scholar
  39. 39.
    Hickey MSJ, Blackstone EH, Kirklin JW, Dean LS: Outcome probabilities and life history after surgical mitral commissurotomy: implications for balloon commissurotomy. J Am Coll Cardiol 17:29,1991.PubMedCrossRefGoogle Scholar
  40. 40.
    Hood WP Jr, Rackley CE, Rolett EL: Wall stress in the normal and hypertrophied human left ventricle. Am J Cardiol 22:550,1968.PubMedCrossRefGoogle Scholar
  41. 41.
    Horowitz MS, Goodman DJ, Fogarty TJ, Harrison DC: Mitral valve replacement with glutaraldehyde-preserved porcine heterograft: clinical, hemodynamic, and pathological correlations. J Thorac Cardiovas Surg 67:885,1974.Google Scholar
  42. 42.
    Horstkotte D, Haerten K, Seipel L, Korfer R, Budde T, Bircks W, Loogen F: Central hemodynamics at rest and during exercise after mitral valve replacement with different prostheses. Circulation 68(Suppl II):II–161,1983.Google Scholar
  43. 43.
    Housman L, Bonchek LI, Lambert LE, Grunkemeier GL, Starr A: Prognosis of patients after open mitral commissurotomy: actuarial analysis of late results in 100 patients. J Thorac Cardiovasc Surg 73:742,1977.PubMedGoogle Scholar
  44. 44.
    Inoue K, Owaki T, Nakamura T, Kitamura F, Miyamoto N: Clinical application of transvenous mitral commissurotomy by a new balloon catheter. J Thorac Cardiovasc Surg 87:394,1984.PubMedGoogle Scholar
  45. 45.
    Isom OW, Spencer FC, Glassman E, Teiko P, Boyd AD, Cunningham JN: Long-term results in 1,375 patients undergoing valve replacement with the Starr-Edwards cloth-covered composite-seat prostheses: a six-year appraisal. Ann Surg 186:310,1977.PubMedCrossRefGoogle Scholar
  46. 46.
    Isom OW, Williams CD, Falk EA, Glassman E, Spencer FC: Long-term evaluation of cloth-covered metallic ball prostheses. J Thorac Cardiovasc Surg 64:354,1972.PubMedGoogle Scholar
  47. 47.
    Jamieson WRE, Burr LH, Munro I, Miyagishima RT, Gerein AN: Cardiac valve replacement in the elderly: clinical performance of biological prostheses. Ann Thorac Surg 48:173,1989.PubMedCrossRefGoogle Scholar
  48. 48.
    Junod FL, Harlan BJ, Payne J, Smeloff EA, Miller GE Jr, Kelly PB Jr, Ross KA, Shankar KG, McDermott JP: Preoperative risk assessment in cardiac surgery: comparison of predicted and observed results. Ann Thorac Surg 43:59,1987.PubMedCrossRefGoogle Scholar
  49. 49.
    Karlson KJ, Ashraf MM, Berger RL: Rupture of left ventricle following mitral valve replacement. Ann Thorac Surg 46:590,1988.PubMedCrossRefGoogle Scholar
  50. 50.
    Katske G, Golding LR, Tubbs RR, Loop FD: Posterior midventricular rupture after mitral valve replacement. Ann Thorac Surg 27:130,1979.PubMedCrossRefGoogle Scholar
  51. 51.
    Kay JH, Zubiate P, Mendez AM, Carpena C, Watanabe K, Magidson O: Mitral valve repair for patients with pure mitral insufficiency. JAMA 236:1584,1976.PubMedCrossRefGoogle Scholar
  52. 52.
    Kirklin JW: Replacement of the mitral valve for mitral incompetence. Surgery 77: 827,1972.Google Scholar
  53. 53.
    Kirklin JW: Percutaneous balloon versus surgical closed commissurotomy for mitral stenosis. Circulation 83:1450,1991.PubMedGoogle Scholar
  54. 54.
    Kirklin JW, Pacifico AD: Surgery for acquired valvular heart disease. Part 2. N Engl J Med 288:194,1973.PubMedCrossRefGoogle Scholar
  55. 55.
    Lam JHC, Ranganathan N, Wigle ED, Silver MD: Morphology of the human mitral valve. I. Chordae tendineae: a new classification. Circulation 41:449,1970.PubMedGoogle Scholar
  56. 56.
    Lillihei CW, Levy MJ, Bonnabeau RC Jr: Mitral valve replacement with préservation of papillary muscles and chordae tendineae. J Thorac Cardiovasc Surg 47: 532,1964.Google Scholar
  57. 57.
    Lock JE, Khalilullah M, Shrivastava S, Bahl V, Keane JF: Percutaneous catheter commissurotomy in rheumatic mitral stenosis. N Engl J Med 313:1515,1985.PubMedCrossRefGoogle Scholar
  58. 58.
    Louagie Y, Noirhomme P, Aranguis E, Eucher P, Vanruyssevelt P, Buche M, Dion R, Jaumin P, Schoevaerdts JC: Use of the Carpentier-Edwards porcine bioprosthesis: assessment of patient selection policy. J Thorac Cardiovasc Surg 104: 1013,1992.PubMedGoogle Scholar
  59. 59.
    Lytle BW, Cosgrove DM, Gill CC, Stewart RW, Golding LAR, Goormastic M, Taylor PC, Loop FD: Mitral valve replacement combined with myocardial revascularization: early and late results for 300 patients, 1970 to 1983. Circulation 71: 1179,1985.PubMedCrossRefGoogle Scholar
  60. 60.
    McAlpine WA: Heart and Coronary Arteries. New York, Springer-Verlag, 1975.Google Scholar
  61. 61.
    McAnulty JH, Morton M, Rahimtoola SH, Kloster FE, Ahuja N, Starr A: Hemodynamic characteristics of the composite strut ball valve prostheses (Starr-Edwards Track Valves) in patients on anticoagulants. Circulation 59(Suppl I):I–159,1978.Google Scholar
  62. 62.
    Miki S, Kusuhara K, Ueda Y, Komeda M, Ohkita Y, Tahata T: Mitral valve replacement with preservation of chordae tendineae and papillary muscles. Ann Thorac Surg 45:28,1988.PubMedCrossRefGoogle Scholar
  63. 63.
    Mullin MJ, Engelman RM, Isom OW, Boyd AD, Glassman E, Spencer FC: Experience with open mitral commissurotomy in 100 consecutive patients. Surgery 76: 974,1974.PubMedGoogle Scholar
  64. 64.
    Nakano S, Kawashima Y, Hirose H, Matsuda H, Shirakura R, Sato S, Taniguchi K, Kawamoto T, Sakaki S, Ohyama C: Reconsiderations of indications for open mitral commissurotomy based on pathologic features of the stenosed mitral valve: a fourteen-year follow-up study in 347 consecutive patients. J Thorac Cardiovasc Surg 94:335,1987.Google Scholar
  65. 65.
    Nanda NC, Gramiak R, Shah PM, DeWeese JA: Mitral commissurotomy versus replacement: preoperative evaluation by echocardiography. Circulation 51:262, 1975.Google Scholar
  66. 66.
    Okita Y, Miki S, Kusuhara K, Ueda Y, Tahata T, Yamanaka K, Higa T: Analysis of left ventricular motion after mitral valve replacement with a technique of preservation of all chordae tendineae: comparison with conventional mitral valve replacement or mitral valve repair. J Thorac Cardiovasc Surg 104:786,1992.PubMedGoogle Scholar
  67. 67.
    Oyer PE, Stinson EB, Reitz BA, Miller DO, Rossiter S, Shumway NE: Long-term evaluation of the porcine xenograft bioprosthesis. J Thorac Cardiovasc Surg 78: 343,1979.PubMedGoogle Scholar
  68. 68.
    Perloff JK, Roberts WC: The mitral apparatus: functional anatomy of mitral regurgitation. Circulation 46:227,1972.PubMedGoogle Scholar
  69. 69.
    Peter CA, Austin EH, Jones RH: Effect of valve replacement for chronic mitral insufficiency on left ventricular function during rest and exercise. J Thorac Cardiovasc Surg 82:127,1981.PubMedGoogle Scholar
  70. 70.
    Rahimtoola SH: The problem of valve prosthesis-patient mismatch. Circulation 58:20,1978.PubMedGoogle Scholar
  71. 71.
    Ranganathan N, Lam JHC, Wigle ED, Silver MD: Morphology of the human mitral valve. II. The valve leaflets. Circulation 41:459,1970.PubMedGoogle Scholar
  72. 72.
    Reifart N, Nowak B, Baykut D, Bussman WD, Kaltenbach M: Experimental mitral valvuloplasty of fibrotic and calcified valves with balloon catheters (abstr). J Am Coll Cardiol 4:448,1985.Google Scholar
  73. 73.
    Rigo P, Alderson PO, Robertson RM, Becker LC, Wagner HN Jr: Measurement of aortic and mitral regurgitation by gated cardiac blood pool scans. Circulation 60: 306,1979.PubMedGoogle Scholar
  74. 74.
    Roberts CW, Cohen LS: Left ventricular papillary muscle. Description of the normal and a survey of conditions causing them to be abnormal. Circulation 46: 138,1972.PubMedGoogle Scholar
  75. 75.
    Rosenquist GC, Clark EB, Sweeney LJ, McAllister HA: The normal spectrum of mitral and aortic valve discontinuity. Circulation 54:298,1976.PubMedGoogle Scholar
  76. 76.
    Rushmer RF: Initial phase of ventricular systole: asynchronous contraction. Am J Physiol 184:188,1956.PubMedGoogle Scholar
  77. 77.
    Sand ME, Naftel DC, Blackstone EH, Kirklin JW, Karp JW: A comparison of repair and replacement for mitral valve incompetence. J Thorac Cardiovasc Surg 94: 208,1987.PubMedGoogle Scholar
  78. 78.
    Sarris GE, Cahill PD, Hansen DE, Derby GC, Miller DC: Restoration of left ventricular systolic performance after reattachment of the mitral chordae tendineae: the importance of valvular-ventricular interaction. J Thorac Cardiovasc Surg 95: 969,1989.Google Scholar
  79. 79.
    Schuler G, Peterson KL, Johnson A, Francis G, Dennish G, Utley J, Daily PO, Ashburn W, Ross J Jr: Temporal response of left ventricular performance to mitral valve surgery. Circulation 59:1218,1979.PubMedGoogle Scholar
  80. 80.
    Selzer A, Cohn KE: Natural history of mitral stenosis: a review. Circulation 45: 878,1972.PubMedGoogle Scholar
  81. 81.
    Souttar HS: The surgical treatment of mitral stenosis. Br Med J 2:603,1925.PubMedCrossRefGoogle Scholar
  82. 82.
    Spence PA, Peniston CM, David TE, Mihic N, Jabr AK, Narini P, Salerno TA: Toward a better understanding of the etiology of left ventricular dysfunction after mitral valve replacement: an experimental study with possible clinical implications. Ann Thorac Surg 41:363,1986.PubMedCrossRefGoogle Scholar
  83. 83.
    Spencer FC: A plea for early, open mitral commissurotomy. Am Heart J 95: 668,1978.PubMedCrossRefGoogle Scholar
  84. 84.
    Spencer FC, Colvin SB, Culliford AT, Isom OW: Experiences with the Carpentier techniques of mitral valve reconstruction in 103 patients (1980–1985). J Thorac Cardiovasc Surg 90:341,1985.PubMedGoogle Scholar
  85. 85.
    Spencer FC, Galloway AC, Colvin SB: A clinical evaluation of the hypothesis that rupture of the left ventricle following mitral valve replacement can be prevented by preservation of the chordae of the mural leaflet. Ann Surg 202:673,1985.PubMedCrossRefGoogle Scholar
  86. 86.
    Starr A, Grunkemeier G, Lambert L, Okies JE, Thomas D: Mitral valve replacement: a 10-year follow-up of noncloth-covered vs cloth-covered caged-ball prostheses. Circulation 54(Suppl III): 111–47,1976.Google Scholar
  87. 87.
    Tandler J: Anatomie des Herzens. Jena, G. Fischer, 1913.Google Scholar
  88. 88.
    Turi ZG, Reyes VP, Raju S, Raju R, Kumar DN, Rajagopal P, Sathyanarayana PV Rao P, Srinath K, Peters P, Connors B, Fromm B, Farkas P, Wynne J: Percutaneous balloon versus surgical closed commissurotomy for mitral stenosis: a prospective, randomized trial. Circulation 83:1179,1991.PubMedGoogle Scholar
  89. 89.
    Urschel CW, Covell JW, Sonnenblick EH, Ross J Jr, Braunwald E: Myocardial mechanics in aortic and mitral regurgitation. The concept of instantaneous impedance as a determinant of the performance of the intact heart. J Clin Invest 47: 867,1968.PubMedCrossRefGoogle Scholar
  90. 90.
    Wanderman KL, Goldberg MJ, Stack RS, Weissler AM: Left ventricular performance in mitral regurgitation assessed with systolic time intervals and echocardiography. Am J Cardiol 38:831,1976.PubMedCrossRefGoogle Scholar
  91. 91.
    Wolpowitz A, Barnard MS, Sanchez H, Barnard CN: Intraoperative posterior left ventricular wall rupture associated with mitral valve replacement. Ann Thorac Surg 25:551,1978.PubMedCrossRefGoogle Scholar
  92. 92.
    Zimmerman J, Bailey CP: The surgical significance of the fibrous skeleton of the heart. J Thorac Cardiovasc Surg 44:701,1962.Google Scholar

Copyright information

© Springer-Verlag New York, Inc. 1995

Authors and Affiliations

  • Bradley J. Harlan
    • 1
    • 2
    • 3
  • Albert Starr
    • 3
    • 4
    • 5
  • Fredic M. Harwin
    • 6
  • Alain Carpentier
    • 7
  1. 1.Section of Thoracic and Cardiovascular SurgerySutter Memorial HospitalSacramentoUSA
  2. 2.Davis Medical SchoolUniversity of CaliforniaSacramentoUSA
  3. 3.Oregon Health Sciences UniversityPortlandUSA
  4. 4.Heart Institute at St. Vincent HospitalPortlandUSA
  5. 5.Starr-Wood Cardiac Group, P.C.PortlandUSA
  6. 6.Harwin StudiosPortlandUSA
  7. 7.Hôpital BroussaisUniversity of ParisParisFrance

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