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Journal of Cardiothoracic Surgery

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Open Access 01-12-2017 | Research article

The correlation between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair

Authors: Dan Wei, Jie Han, Haibo Zhang, Yan Li, Chunlei Xu, Xu Meng

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

Abstract

Background

To investigate the association between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair.

Methods

From Sep 2014 to Jun 2015, 20 patients underwent mitral valve valvuloplasty for mitral regurgitation were included. Ring annuloplasty was performed in all cases. Mitral valve short-axis dimension (MVd), coaptation height (CH), Left ventricular ejection fraction (LVEF) were measured by the transesophageal echocardiography before the operation in operation room and 3 months and 12 months after the operation by the transthoracic echocardiography. A degree from 0 to 4 was used to measure the degree of mitral regurgitation.

Results

There were 14 patients with 0, 3 patients with 1, 3 patients with 2 of mitral regurgitation 12 months after the operation. CH (3.53 ± 1.91 mm) increased significantly at 3 months (5.05 ± 1.09 mm) and 12 months after operation (5.22 ± 1.15 mm) (p < 0.05). MVd and LVEF were not significantly changed after mitral valve repair. Furthermore, CH after resuscitation have a statistically significant negative correlation with the degree of mitral regurgitation 12 months after operation.

Conclusion

The mitral valve repair with mitral valve ring induce the morphologic change of the mitral valve structure. The increase of CH after mitral valve repair may be one of the main factors in regulation of mitral regurgitation.

Carpentier A. Reconstructive valvuloplasty. A new technique of mitral valvuloplasty. Presse Med. 1969;77(7):251–3.PubMed

Savage EB, Ferguson TB, DiSesa VJ. Use of mitral valve repair: analysis of contemporary United States experience reported to the Society of Thoracic Surgeons National Cardiac Database. Ann Thorac Surg. 2003;75:820–5.CrossRefPubMed

Gammie JS, Sheng S, Griffith BP, Peterson ED, Rankin JS, O'Brien SM, et al. Trends in mitral valve surgery in the United States: results from the Society of Thoracic Surgeons adult cardiac surgery database. Ann Thorac Surg. 2009;87:1431–7. discussion 1437-9CrossRefPubMed

Falk V, Seeburger J, Czesla M, Borger MA, Willige J, Kuntze T, et al. How does the use of polytetrafluoroethylene neochordae for posterior mitral valve prolapse (loop technique) compare with leaflet resection? A prospective randomized trial. J Thorac Cardiovasc Surg. 2008;136:1205.CrossRefPubMed

Gelsomino S, Lorusso R, Caciolli S, Capecchi I, Rostagno C, Chioccioli M, et al. 2008. Insights on left ventricular and valvular mechanisms of recurrent ischemic mitral regurgitation after restrictive annuloplasty and coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2008;136:507–18.CrossRefPubMed

Hatle L, Angelsen B. Doppler ultrasound in cardiology: physical principles and clinical applications. Philadelphia, PA: Lea & Febiger; 1985. p. 97–176.

Hatle L, Angelsen B, Thromsdal A. Non-invasive assessment of atrioventricular pressure half-time by Doppler ultrasound. Circulation. 1979;60:1096.CrossRefPubMed

Kronzon I, Tunick PA, Glassman E, Slater J, Schwinger M, Freedberg RS. Transesophageal echocardiography to detect atrial clot in candidates for percutaneous transseptal balloon valvuloplasty. JACC. 1990;16:1320–2.CrossRefPubMed

Goldstein SA, Campbell AN. Mitral stenosis: evaluation and guidance of valvuloplasty by transesophageal echocardiography. Cardiol Clin. 1993;11:409–25.PubMed

10.

Francis L, Finley A, Hessami W. Use of three-dimensional transesophageal echocardiography to evaluate mitral valve morphology for risk stratification prior to mitral valvuloplasty. Echocardiography. 2017;34(2):303–5.CrossRefPubMed

11.

Umesue M, Baba H, Kimura S. Immediate and mid-term result of restrictive mitral annuloplasty using a small semi-rigid ring. Gen Thorac Cardiovasc Surg. 2016;64(5):260–6.CrossRefPubMed

12.

Gillinov AM, Cosgrove DM III, Shiota T, Qin J, Tsujino H, Stewart WJ, et al. Cosgrove-Edwards Annuloplasty system: midterm results. Ann Thorac Surg. 2000;69:717–21.CrossRefPubMed

13.

Kunzelman KS, Reimink MS, Cochran RP. Variations in annuloplasty ring and sizer dimensions may alter outcome in mitral valve repair. J Card Surg. 1997;12:322–9.CrossRefPubMed

14.

Timek T, Glasson JR, Dagum P, Green GR, Nistal JF, Komeda M, et al. Ring annuloplasty prevents delayed leaflet coaptation and mitral regurgitation during acute left ventricular ischemia. J Thorac Cardiovasc Surg. 2000;119(4 Pt 1):774–83.CrossRefPubMed

Title: The correlation between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair
Authors: Dan Wei
Jie Han
Haibo Zhang
Yan Li
Chunlei Xu
Xu Meng
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-017-0687-0

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The correlation between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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