The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 5 , Pages 1114-1122 , May 2010

Effects of different annuloplasty rings on anterior mitral leaflet dimensions

Read at the Thirty-fifth Annual Meeting of The Western Thoracic Surgical Association, June 24–27, 2009, Banff, Canada.

  • Wolfgang Bothe, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif
    • Both authors contributed equally to this work.
  • ,
  • John-Peder Escobar Kvitting, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif
    • Both authors contributed equally to this work.
  • ,
  • Julia C. Swanson, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif
  • ,
  • Sigurd Hartnett, BA

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif
  • ,
  • Neil B. Ingels Jr., PhD

      Affiliations

    • Laboratory of Cardiovascular Physiology and Biophysics, Research Institute of the Palo Alto Medical Foundation, Palo Alto, Calif
  • ,
  • D. Craig Miller, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif
    • Corresponding Author InformationAddress for reprints: D. Craig Miller, MD, Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, Stanford University School of Medicine, Stanford, CA 94305-5247.

Received 24 August 2009 ,Revised 1 December 2009 ,Accepted 13 December 2009.

References 

  1. Enriquez-Sarano M, Akins CW, Vahanian A. Mitral regurgitation. Lancet. 2009;373:1382–1394
  2. Raffoul R, Uva MS, Rescigno G, Belli E, Scorsin M, Pouillart F, et al. Clinical evaluation of the Physio annuloplasty ring. Chest. 1998;113:1296–1301
  3. Suri RM, Schaff HV, Dearani JA, Sundt TM, Daly RC, Mullany CJ, et al. Survival advantage and improved durability of mitral repair for leaflet prolapse subsets in the current era. Ann Thorac Surg. 2006;82:819–826
  4. McGee EC, Gillinov AM, Blackstone EH, Rajeswaran J, Cohen G, Najam F, et al. Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2004;128:916–924
  5. Braun J, van de Veire NR, Klautz RJ, Versteegh MI, Holman ER, Westenberg JJ, et al. Restrictive mitral annuloplasty cures ischemic mitral regurgitation and heart failure. Ann Thorac Surg. 2008;85:430–437
  6. Glasson JR, Green GR, Nistal JF, Dagum P, Komeda M, Daughters GT, et al. Mitral annular size and shape in sheep with annuloplasty rings. J Thorac Cardiovasc Surg. 1999;117:302–309
  7. Ryan LP, Jackson BM, Hamamoto H, Eperjesi TJ, Plappert TJ, St John-Sutton M, et al. The influence of annuloplasty ring geometry on mitral leaflet curvature. Ann Thorac Surg. 2008;86:749–760
  8. Jimenez JH, Liou SW, Padala M, He Z, Sacks M, Gorman RC, et al. A saddle-shaped annulus reduces systolic strain on the central region of the mitral valve anterior leaflet. J Thorac Cardiovasc Surg. 2007;134:1562–1568
  9. Jensen MO, Jensen H, Smerup M, Levine RA, Yoganathan AP, Nygaard H, et al. Saddle-shaped mitral valve annuloplasty rings experience lower forces compared with flat rings. Circulation. 2008;118:S250–S255
  10. Maisano F, Redaelli A, Soncini M, Votta E, Arcobasso L, Alfieri O. An annular prosthesis for the treatment of functional mitral regurgitation: finite element model analysis of a dog bone-shaped ring prosthesis. Ann Thorac Surg. 2005;79:1268–1275
  11. Daimon M, Fukuda S, Adams DH, McCarthy PM, Gillinov AM, Carpentier A, et al. Mitral valve repair with Carpentier-McCarthy-Adams IMR ETlogix annuloplasty ring for ischemic mitral regurgitation: early echocardiographic results from a multi-center study. Circulation. 2006;114:I588–I593
  12. Mor-Avi V, Sugeng L, Lang RM. Real-time 3-dimensional echocardiography: an integral component of the routine echocardiographic examination in adult patients?. Circulation. 2009;119:314–329
  13. Bothe W, Chang PA, Swanson JC, Itoh A, Arata K, Ingels NB, et al. Releasable annuloplasty ring insertion–a novel experimental implantation model. Eur J Cardiothorac Surg. 2009;36:830–832
  14. Timek TA, Dagum P, Lai DT, Liang D, Daughters GT, Tibayan F, et al. Tachycardia-induced cardiomyopathy in the ovine heart: mitral annular dynamic three-dimensional geometry. J Thorac Cardiovasc Surg. 2003;125:315–324
  15. Niczyporuk MA, Miller DC. Automatic tracking and digitization of multiple radiopaque myocardial markers. Comput Biomed Res. 1991;24:129–142
  16. Daughters GT, Sanders WJ, Miller DC, Schwarzkopf A, Mead CW, Ingels NB. A comparison of two analytical systems for three-dimensional reconstruction from biplane videoradiograms. Proc Comp Cardiol (IEEE). 1988;15:79–82
  17. Timek TA, Miller DC. Experimental and clinical assessment of mitral annular area and dynamics: what are we actually measuring?. Ann Thorac Surg. 2001;72:966–974
  18. Sharony R, Saunders PC, Nayar A, McAleer E, Galloway AC, Delianides J, et al. Semirigid partial annuloplasty band allows dynamic mitral annular motion and minimizes valvular gradients: an echocardiographic study. Ann Thorac Surg. 2004;77:518–522
  19. Lancellotti P, Marwick T, Pierard LA. How to manage ischaemic mitral regurgitation. Heart. 2008;94:1497–1502

 The work was supported by US National Institutes of Health grants R01 HL 29589 and R01 HL67025 (to D.C.M.); Deutsche Herzstiftung, Frankfurt, Germany, research grant S/06/07 (to W.B.); US-Norway Fulbright Foundation and the Swedish Heart-Lung Foundation (to J-P.E.K.); and Western States Affiliate American Heart Association Fellowship (to J.C.S.).

 Disclosures: None.

PII: S0022-5223(09)01614-6

doi: 10.1016/j.jtcvs.2009.12.014

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 5 , Pages 1114-1122 , May 2010