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Mitral Valve repair for surgical remodeling

  • Conference paper
Surgical Remodeling in Heart Failure

Abstract

In conclusion, mitral reconstruction via an annuloplasty ring effectively corrects mitral regurgitation in cardiomyopathy patients and is a safe procedure in a high-risk population with an acceptable operative mortality rate. Not only has survival in these patients improved but also functional status has changed remarkably. The effects of this procedure in patients with severe myocardial dysfunction may be attributed to a decrease in the regurgitant orifice area, improvement in the efficiency of each contraction with better effective forward flow, an increase in coronary flow reserve, and reversal of some the alterations in the neurohormonal changes seen in heart failure. These changes all contribute to restoration of the normal left ventricular geometric relationship. While longer-term follow-up is necessary with a greater number of patients, we are encouraged by these results and feel that mitral reconstruction offers a new strategy for end-stage cardiomyopathy.

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Authors and Affiliations

  1. Section of Cardiac Surgery Taubman Health Care Center, The University of Michigan, 1500 E Medical Center Drive Ann Arbor, 2120D, Box 0348, Michigan, 48109-0348, USA

    S. F. Bolling

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  1. S. F. Bolling
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  2. I. A. Smolens
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  1. Universitätsklinik für Herz- und Thoraxchirurgie, Kantonsspital Basel, Spitalstraße 21, Basel, CH-4031

    W. Brett , A. Todorov , M. Pfisterer  & Hans-Reinhard Zerkowski , ,  & 

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Bolling, S.F., Smolens, I.A. (2000). Mitral Valve repair for surgical remodeling. In: Brett, W., Todorov, A., Pfisterer, M., Zerkowski, HR. (eds) Surgical Remodeling in Heart Failure. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57705-5_8

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  • DOI: https://doi.org/10.1007/978-3-642-57705-5_8

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-7985-1223-8

  • Online ISBN: 978-3-642-57705-5

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