The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1071-1076 , May 2009

Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse

  • Rakesh M. Suri, MD, DPhil

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
    • Corresponding Author InformationAddress for reprints: Rakesh M. Suri, MD, DPhil, Division of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
  • ,
  • Hartzell V. Schaff, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
  • ,
  • Joseph A. Dearani, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
  • ,
  • Thoralf M. Sundt, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
  • ,
  • Richard C. Daly, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
  • ,
  • Charles J. Mullany, MB, MS

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
  • ,
  • Maurice Enriquez-Sarano, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn
  • ,
  • Thomas A. Orszulak, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn

Received 6 March 2008 ,Revised 13 August 2008 ,Accepted 26 October 2008.

References 

  1. Starling MR, Kirsh MM, Montgomery DG, Gross MD. Impaired left ventricular contractile function in patients with long-term mitral regurgitation and normal ejection fraction. J Am Coll Cardiol. 1993;22:239–250
  2. Starling MR. Effects of valve surgery on left ventricular contractile function in patients with long-term mitral regurgitation. Circulation. 1995;92:811–818
  3. Flemming MA, Oral H, Rothman ED, Briesmiester K, Petrusha JA, Starling MR. Echocardiographic markers for mitral valve surgery to preserve left ventricular performance in mitral regurgitation. Am Heart J. 2000;140:476–482
  4. Enriquez-Sarano M, Tajik AJ, Schaff HV, Orszulak TA, McGoon MD, Bailey KR, et al. Echocardiographic prediction of left ventricular function after correction of mitral regurgitation: results and clinical implications. J Am Coll Cardiol. 1994;24:1536–1543
  5. Le Tourneau T, de Groote P, Millaire A, Foucher C, Savoye C, Pigny P, et al. Effect of mitral valve surgery on exercise capacity, ventricular ejection fraction and neurohormonal activation in patients with severe mitral regurgitation. J Am Coll Cardiol. 2000;36:2263–2269
  6. Rich S, Sheikh A, Gallastegui J, Kondos GT, Mason T, Lam W. Determination of left ventricular ejection fraction by visual estimation during real-time two-dimensional echocardiography. Am Heart J. 1982;104:603–606
  7. Amico AF, Lichtenberg GS, Reisner SA, Stone CK, Schwartz RG, Meltzer RS. Superiority of visual versus computerized echocardiographic estimation of radionuclide left ventricular ejection fraction. Am Heart J. 1989;118:1259–1265
  8. Quinones MA, Waggoner AD, Reduto LA, Nelson JG, Young JB, Winters WL, et al. A new, simplified and accurate method for determining ejection fraction with two-dimensional echocardiography. Circulation. 1981;64:744–753
  9. Enriquez-Sarano M, Avierinos JF, Messika-Zeitoun D, Detaint D, Capps M, Nkomo V, et al. Quantitative determinants of the outcome of asymptomatic mitral regurgitation. N Engl J Med. 2005;352:875–883
  10. Suri RM, Orszulak TA. Triangular resection for repair of mitral regurgitation due to degenerative disease. Oper Tech Thorac Cardiovasc Surg. 2005;10:194–199
  11. Seccombe JF, Schaff HV. Mitral valve repair: current techniques and indications. In:  Franco KL,  Verrier ED editor. Advanced therapy in cardiac surgery. Hamilton (Ont): B.C. Decker; 1999;p. 220–231
  12. Phillips MR, Daly RC, Schaff HV, Dearani JA, Mullany CJ, Orszulak TA. Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening. Ann Thorac Surg. 2000;69:25–29
  13. Bonchek LI, Olinger GN, Siegel R, Tresch DD, Keelan MH. Left ventricular performance after mitral reconstruction for mitral regurgitation. J Thorac Cardiovasc Surg. 1984;88:122–127
  14. Goldman ME, Mora F, Guarino T, Fuster V, Mindich BP. Mitral valvuloplasty is superior to valve replacement for preservation of left ventricular function: an intraoperative two-dimensional echocardiographic study. J Am Coll Cardiol. 1987;10:568–575
  15. Ren JF, Aksut S, Lighty GW, Vigilante GJ, Sink JD, Segal BL, et al. Mitral valve repair is superior to valve replacement for the early preservation of cardiac function: relation of ventricular geometry to function. Am Heart J. 1996;131:974–981
  16. Corin WJ, Sutsch G, Murakami T, Krogmann ON, Turina M, Hess OM. Left ventricular function in chronic mitral regurgitation: preoperative and postoperative comparison. J Am Coll Cardiol. 1995;25:113–121
  17. David TE, Burns RJ, Bacchus CM, Druck MN. Mitral valve replacement for mitral regurgitation with and without preservation of chordae tendineae. J Thorac Cardiovasc Surg. 1984;88:718–725
  18. Lillehei CW, Levy MJ, Bonnabeau RC. Mitral valve replacement with preservation of papillary muscles and chordae tendineae. J Thorac Cardiovasc Surg. 1964;47:532–543
  19. Rastelli GC, Tsakiris AG, Frye RL, Kirklin JW. Exercise tolerance and hemodynamic studies after replacement of canine mitral valve with and without preservation of chordae tendineae. Circulation. 1967;35(4 Suppl):I34–I41
  20. Matsumura T, Ohtaki E, Tanaka K, Misu K, Tobaru T, Asano R, et al. Echocardiographic prediction of left ventricular dysfunction after mitral valve repair for mitral regurgitation as an indicator to decide the optimal timing of repair. J Am Coll Cardiol. 2003;42:458–463
  21. David TE, Ivanov J, Armstrong S, Rakowski H. Late outcomes of mitral valve repair for floppy valves: implications for asymptomatic patients. J Thorac Cardiovasc Surg. 2003;125:1143–1152
  22. Mohty D, Orszulak TA, Schaff HV, Avierinos JF, Tajik AJ, Enriquez-Sarano M. Very long-term survival and durability of mitral valve repair for mitral valve prolapse. Circulation. 2001;104;(12 Suppl 1)1:I1-7

 Conflicts of interest: Drs Suri, Schaff, Dearani, Daly, Mullany, and Orszulak have no conflicts of interest with this manuscript. Dr Sundt has stated consultant/advisory board: Boston Scientific Advisory Board. Dr Enriquez-Sarano has stated research grants: Edwards Lifesciences, AstraZeneca, and Pfizer; honoraria: Edwards Lifesciences; and consultant/advisory board: Edwards Lifesciences.

PII: S0022-5223(08)01748-0

doi: 10.1016/j.jtcvs.2008.10.026

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1071-1076 , May 2009