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Open Access 01-12-2021 | Mitral Valve Insufficiency | Research article

Comparison of flexible, open with semi-rigid, closed annuloplasty-rings for mitral valve repair

Authors: Ayse Cetinkaya, Maryam Waheed, Karin Bramlage, Oliver Johannes Liakopoulos, Mohamed Zeriouh, Stefan Hein, Peter Bramlage, Markus Schönburg, Yeong-Hoon Choi, Manfred Richter

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Mitral regurgitation is a frequent valvular disease, with an increasing prevalence. We analysed the long-term outcomes of mitral valve repair procedures conducted over the last 10 years in our clinic using almost exclusively two different annuloplasty ring types.

Methods

A single-centre, retrospective analysis of mitral valve surgeries conducted between January 2005 and December 2015 for patients undergoing first-line mitral valve repair with either open (Cosgrove) or closed (CE Physio / Physio II) annuloplasty (OA or CA, respectively) rings.

Results

In total, 1120 patient documentations were available of which 528 underwent OA and 592 patients CA. The median age of patients was 64.0 years and 41.1% were female. The majority of these patients underwent the procedure because of degenerative valve disease. Rates of successful repair were about 90%, 72 h procedural mortality was 0.6% and the rate of re-intervention was 0.6% within the first 30 days. Functional (mitral regurgitation, left ventricular ejection fraction, left ventricular end-diastolic and systolic diameter and New York Heart Association class) as well as hard outcomes were comparable. 77.7 and 74.4% of patients were alive at the 10-year follow-up in the OA and CA groups, respectively. Upon multivariable adjustment, the hazard ratio was 0.926 (95% CI: 0.642–1.3135; p = 0.681).

Conclusions

The functional outcome and survival rates up to 10 years after mitral valve repair were comparable using open and closed annuloplasty rings. Whether this means these rings are interchangeable or a carefully selection of the best-for-the-patient devices will be subject of future investigations.

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Title: Comparison of flexible, open with semi-rigid, closed annuloplasty-rings for mitral valve repair
Authors: Ayse Cetinkaya
Maryam Waheed
Karin Bramlage
Oliver Johannes Liakopoulos
Mohamed Zeriouh
Stefan Hein
Peter Bramlage
Markus Schönburg
Yeong-Hoon Choi
Manfred Richter
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Mitral Valve Insufficiency
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01405-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of flexible, open with semi-rigid, closed annuloplasty-rings for mitral valve repair

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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