Skip to main content
SpringerLink
Log in

Update on mitral valve surgery

  • REVIEW
  • Published:
Journal of Artificial Organs Aims and scope Submit manuscript

Abstract

Recently, the outcome for patients with mitral valve disease has significantly improved. This may be due to concomitant advances in many fields. In particular, the development of surgical techniques has contributed to this improvement, and many surgical techniques and topics are introduced in this article. After the evaluation of results in mitral valve surgery and exploration of the relationship between the mitral valve and the mitral subvalvular apparatus, it is currently accepted that mitral valve repair is superior to replacement and that replacement with preservation of the mitral subvalvular apparatus is preferable to replacement alone. Another current topic is mitral repair in dilated cardiomyopathy. Mitral regurgitation is a known complication of end-stage cardiomyopathy and is associated with a poor prognosis because of progressive mitral annular dilatation. Recently, to solve this problem, undersized mitral annuloplasty or cardiomyoplasty has been advocated. In the future, mitral valve surgery may be performed off-pump or by a percutaneous approach. Several groups are investigating the use of new devices and new techniques that avoid cardiopulmonary bypass in experimental studies. In this article, we review current topics and discuss our experiences in mitral valve surgery.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. M Enriquez-Sarano HV Schaff TA Orszulak KR Bailey AJ Tajik RL Frye (1995) ArticleTitleCongestive heart failure after surgical correction of mitral regurgitation. A long-term study Circulation 92 2496–2503 Occurrence Handle7586350 Occurrence Handle1:STN:280:DyaK28%2FmvFaluw%3D%3D

    PubMed  CAS  Google Scholar 

  2. M Komeda TE David A Malik J Ivanov Z Sun (1992) ArticleTitleOperative risk and long-term results of operation for left ventricular aneurysm Ann Thorac Surg 53 22–29 Occurrence Handle1728238 Occurrence Handle1:STN:280:DyaK38%2FpsFOmtw%3D%3D Occurrence Handle10.1016/0003-4975(92)90753-Q

    Article  PubMed  CAS  Google Scholar 

  3. DS Blondheim LE Jacobs MN Kotler GA Costacurta WR Parry (1991) ArticleTitleDilated cardiomyopathy with mitral regurgitation: decreased survival despite a low frequency of left ventricular thrombus Am Heart J 122 763–771 Occurrence Handle10.1016/0002-8703(91)90523-K Occurrence Handle1877453 Occurrence Handle1:STN:280:DyaK3MzksVyhuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  4. F Grigioni M Enriquez-Sarano KJ Zehr KR Bailey AJ Tajik (2001) ArticleTitleIschemic mitral regurgitation: long-term outcome and prognostic implications with quantitative Doppler assessment Circulation 103 1759–1764 Occurrence Handle11282907 Occurrence Handle000167994900009 Occurrence Handle1:STN:280:DC%2BD3M3msFOmsw%3D%3D

    PubMed  ISI  CAS  Google Scholar 

  5. JD Robbins PB Maniar W Cotts MA Parker RO Bonow M Gheorghiade (2003) ArticleTitlePrevalence and severity of mitral regurgitation in chronic systolic heart failure Am J Cardiol 91 360–362 Occurrence Handle10.1016/S0002-9149(02)03172-7 Occurrence Handle12565101

    Article  PubMed  Google Scholar 

  6. SF Bolling GM Deeb LA Brunsting DS Bach (1995) ArticleTitleEarly outcome of mitral valve reconstruction in patients with end-stage cardiomyopathy J Thorac Cardiovasc Surg 109 676–683 Occurrence Handle7715214 Occurrence Handle1:STN:280:DyaK2M3jtFSgtQ%3D%3D

    PubMed  CAS  Google Scholar 

  7. SF Bolling FD Pagani GM Deep DS Bach (1998) ArticleTitleIntermediate-term outcome of mitral reconstruction in cardiomyopathy J Thorac Cardiovasc Surg 115 381–388 Occurrence Handle9475533 Occurrence Handle1:STN:280:DyaK1c7jtlKrsg%3D%3D

    PubMed  CAS  Google Scholar 

  8. T Koyama K Nishimura Y Soga O Unimonh K Ueyama M Komeda (2003) ArticleTitleImportance of preserving the apex and plication of the base in left ventricular volume reduction surgery J Thorac Cardiovasc Surg 125 669–677 Occurrence Handle10.1067/mtc.2003.54 Occurrence Handle12658211

    Article  PubMed  Google Scholar 

  9. Koyama T, Soga Y, Gao B, Unimonh O, Nishimura K, Komeda M. Mitral annuloplasty as a method to repair the failing left ventricle – a pilot study. SHVD (The Society for Heart Valve Disease) 2nd Biennial Meeting, 2003, July 1st, 2003, Paris, France

  10. Y Cen DD Glower K Landolfo JE Lowe RD Davis WG Wolfe C Pieper B Peterson (2001) ArticleTitleComparison of survival after mitral valve replacement with biologic and mechanical valves in 1139 patients J Thorac Cardiovasc Surg 122 569–577 Occurrence Handle10.1067/mtc.2001.115418 Occurrence Handle11547311 Occurrence Handle1:STN:280:DC%2BD3MvpvValsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  11. LS Czer JM Matloff A Chaux MA DeRobertis RJ Gray (1987) ArticleTitlePorcine bioprosthetic and St. Jude valve replacement Chest 91 503–514 Occurrence Handle3829742 Occurrence HandleA1987G741000010 Occurrence Handle1:STN:280:DyaL2s7mtV2rtw%3D%3D

    PubMed  ISI  CAS  Google Scholar 

  12. GJ Fradet WR Jamieson JG Abel SV Lichtenstein RT Miyagishima H Ling GF Tyers (1995) ArticleTitleClinical performance of biological and mechanical prostheses Ann Thorac Surg 60 S453–458 Occurrence Handle10.1016/0003-4975(95)00306-6 Occurrence Handle7646207 Occurrence Handle1:STN:280:DyaK2MznsVWqsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. PSU Myken K Caidahl P Larsson S Larsson I Wallentin HE Berggren (1995) ArticleTitleMechanical versus biological valve prosthesis: a ten-year comparison regarding function and quality of life Ann Thorac Surg 60 S447–452 Occurrence Handle10.1016/0003-4975(95)00266-N Occurrence Handle7646206 Occurrence Handle1:STN:280:DyaK2MznsVWqsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. H Yao T Miyamoto S Mukai M Yawamura H Tanaka T Nakagawa M Ryomoto Y Inai Y Yoshioka M Kaji (2003) ArticleTitleLong-term results of mitral valve replacement: biological xenograft versus mechanical valves J Artif Organs 6 30–36 Occurrence Handle10.1007/s100470300005 Occurrence Handle14598122 Occurrence Handle1:CAS:528:DC%2BD3sXivFygtrk%3D

    Article  PubMed  CAS  Google Scholar 

  15. K Holper M Wottke T Lewe L Baumer H Meisher S Paek F Sebening (1995) ArticleTitleBioprosthetic and mechanical valves in the elderly: benefits and risks Ann Thorac Surg 60 S443–446 Occurrence Handle10.1016/0003-4975(95)00252-G Occurrence Handle7646205 Occurrence Handle1:STN:280:DyaK2MznsVWqsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  16. EA Grossi AC Galloway PK Zakow JS Miller PM Buttenheim FG Baumann AT Culliford FC Spencer SB Colvin (1998) ArticleTitleChoice of mitral prosthesis in the elderly: an analysis of actual outcomes Circulation 98 116–119

    Google Scholar 

  17. KL Yun CF Sintek DC Miller TA Pfeffer GS Kochamba S Khonsari MR Zile (2002) ArticleTitleRandomized trial comparing partial versus complete chordal-sparing mitral valve replacement: effects on left ventricular volume and function J Thorac Cardiovasc Surg 123 707–714 Occurrence Handle10.1067/mtc.2002.121048 Occurrence Handle11986599

    Article  PubMed  Google Scholar 

  18. Y Soga K Nishimura K Yamazaki M Komeda (2003) ArticleTitleSimplified chordal reconstruction: “oblique” placement of artificial chordae tendineae in mitral valve replacement Eur J Cardiothorac Surg 24 653–655 Occurrence Handle10.1016/S1010-7940(03)00462-7 Occurrence Handle14500095

    Article  PubMed  Google Scholar 

  19. Y Soga K Nishimura T Ikeda T Nishina K Ueyama T Nakamura S Miwa T Koyama M Komeda (2002) ArticleTitleChordal-sparing mitral valve replacement using artificial chordae tendineae for rheumatic mitral stenosis: experience of the “oblique” method Artif Organs 26 802–805 Occurrence Handle10.1046/j.1525-1594.2002.06975.x Occurrence Handle12197937

    Article  PubMed  Google Scholar 

  20. M Komeda A DeAnda JR Glasson AF Bolger Y Tomizawa GT Daughter SuffixII TL Tye NB Ingels DC Miller (1995) ArticleTitleExploring better methods to preserve the chordae tendineae during mitral valve replacement Ann Thorac Surg 60 1652–1658 Occurrence Handle10.1016/0003-4975(95)00837-3 Occurrence Handle8787458 Occurrence Handle1:STN:280:DyaK287htVaitA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  21. M Komeda A DeAnda JR Glasson GT Daughters AF Bolger SD Nikolic NB Ingels SuffixJr DC Miller (1996) ArticleTitleImproving methods of chordal-sparing mitral valve replacement: Part III: Optimal direction for artificial chordae J Heart Valve Dis 5 484–490 Occurrence Handle8894987 Occurrence Handle1:STN:280:DyaK2s%2FltVamuw%3D%3D

    PubMed  CAS  Google Scholar 

  22. WR Chitwood SuffixJr CL Wixon JR Elbeery JF Moran WH Chapman RM Lust (1997) ArticleTitleVideo-assisted minimally invasive mitral valve surgery J Thorac Cardiovasc Surg 114 773–782 Occurrence Handle9375607

    PubMed  Google Scholar 

  23. JL Navia DM Cosgrove SuffixIII (1996) ArticleTitleMinimally invasive mitral valve operation Ann Thorac Surg 62 1542–1544 Occurrence Handle10.1016/0003-4975(96)00779-5 Occurrence Handle8893611 Occurrence Handle1:STN:280:DyaK2s%2FkvVyrsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  24. JH Stevens TA Burdon WS Peters LC Sigel MF Pompili MA Vierra FG Goar GH Ribakove RS Mitchell BA Reiz (1996) ArticleTitlePort-access coronary artery bypass grafting: a proposed surgical method J Thorac Cardiovasc Surg 111 567–573 Occurrence Handle8601971 Occurrence Handle1:STN:280:DyaK287ns12htg%3D%3D

    PubMed  CAS  Google Scholar 

  25. J Fann MF Pompili TA Burdon JH Stevens FG St Goar BA Reitz (1997) ArticleTitleInvasive mitral valve surgery Semin Thorac Cardiovasc Surg 9 320–330 Occurrence Handle9352947 Occurrence Handle1:STN:280:DyaK1c%2Fht12qtA%3D%3D

    PubMed  CAS  Google Scholar 

  26. AC Galloway RJ Shemin DD Glower JH Boyer SuffixJr MA Groh RE Kuntz TA Burdon GH Ribakove BA Reitz SB Colvin (1999) ArticleTitleFirst report of the port access international registry Ann Thorac Surg 67 51–58 Occurrence Handle10.1016/S0003-4975(98)01265-X Occurrence Handle10086524 Occurrence Handle1:STN:280:DyaK1M7osVehug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  27. FW Mohr V Falk A Diegeler T Walther JAM Son R Autschbach (1998) ArticleTitleMinimally invasive port-access mitral valve surgery J Thorac Cardiovasc Surg 115 567–576 Occurrence Handle9535444 Occurrence Handle1:STN:280:DyaK1c7psFWhsw%3D%3D

    PubMed  CAS  Google Scholar 

  28. FW Mohr JF Onnasch V Falk T Walther A Diegeler R Krakor F Schneider R Autschbach (1999) ArticleTitleThe evolution of minimally invasive mitral valve surgery – 2-year experience Eur J Cardiothorac Surg 15 233–239 Occurrence Handle10.1016/S1010-7940(99)00033-0 Occurrence Handle10333015 Occurrence Handle1:STN:280:DyaK1M3mtlyisg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  29. AP Kypson WR Chitwood SuffixJr (2004) ArticleTitleRobotic mitral valve surgery Am J Surg 188 83S–88S Occurrence Handle10.1016/j.amjsurg.2004.08.021 Occurrence Handle15476657

    Article  PubMed  Google Scholar 

  30. A Kollar V Kekesi P Soos A Juhasz-Nagy (2003) ArticleTitleLeft ventricular external subannular plication: an indirect off-pump mitral annuloplasty method in a canine model J Thorac Cardiovasc Surg 126 977–982 Occurrence Handle10.1016/S0022-5223(03)00588-9 Occurrence Handle14566235

    Article  PubMed  Google Scholar 

  31. MJ Byrne DM Kaye M Mathis DG Reuter CA Alferness JM Power (2004) ArticleTitlePercutaneous mitral annular reduction provides continued benefit in an ovine model of dilated cardiomyopathy Circulation 110 3088–3092 Occurrence Handle10.1161/01.CIR.0000146904.13677.E4 Occurrence Handle15505086 Occurrence Handle000224984800018

    Article  PubMed  ISI  Google Scholar 

  32. J Fann FG St Goar J Komtebedde MC Oz PC Block E Foster J Butany T Feldman TA Burdon (2004) ArticleTitleBeating heart catheter-based edge-to-edge mitral valve procedure in a porcine model – efficacy and healing response Circulation 110 988–993 Occurrence Handle10.1161/01.CIR.0000139855.12616.15 Occurrence Handle15302782 Occurrence Handle000223492700016

    Article  PubMed  ISI  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan

    Hiroshi Tsuneyoshi MD, PhD & Masashi Komeda MD, PhD

Authors
  1. Hiroshi Tsuneyoshi MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masashi Komeda MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Masashi Komeda MD, PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tsuneyoshi, H., Komeda, M. Update on mitral valve surgery. J Artif Organs 8, 222–227 (2005). https://doi.org/10.1007/s10047-005-0310-3

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10047-005-0310-3

Key words

Search

Navigation