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. 1992;19(2):107–111.

Mitral Valve Reconstruction

Early Results of a Modified Cooley Technique

A Sampath Kumar 1,2, RV Kumar 1,2, S Shrivastava 1,2, P Venugopal 1,2, AK Sood 1,2, N Gopinath 1,2
PMCID: PMC326264  PMID: 15227422

Abstract

One hundred fifty consecutive patients (71 female, 79 male) underwent mitral valve reconstruction from February of 1987 through February of 1991 for mitral regurgitation, with or without mitral stenosis. Of these patients, 134 had rheumatic mitral disease and required 1 or more procedures for correction. One hundred twenty-eight patients were age 30 or under. A posterior semicircular annuloplasty was performed, with the repair buttressed by a collar of Teflon felt; in addition, commissurotomy, papillary muscle splitting, chordal shortening, chordal and papillary fenestration, and closure of acquired clefts were performed as needed. Pre- and postoperative assessment of mitral regurgitation was carried out with the aid of echocardiography. Operative mortality was 3.3% (5 patients), and late mortality was 1.3% (2 patients). There were 3 episodes of thromboembolism at follow-up (mean time of occurrence, 16 months). (Texas Heart Institute Journal 1992;19:107-11)

Keywords: Chordal shortening

Keywords: echocardiography, Doppler

Keywords: mitral valve insufficiency

Keywords: mitral valve prolapse

Keywords: mitral valve reconstruction

Keywords: mitral valve stenosis

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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