@entity3454 ( @entity3454 ), often the result of @entity528 of the mitral valve, is the most commonly known pathologic entity leading to pure @entity339 ( @entity339 ). Reconstruction of the mitral valve rather than replacement is particularly applicable to this pathologic defect, but is not often used in the U.S. Experience with reconstruction of the mitral valve for @entity339 secondary to @entity3454 during the period January 1970 to January 1984 was reviewed. A total of 479 @entity1 with @entity339 underwent operation during this period, 82 (17%) of whom had @entity339 secondary to @entity3454 . Thirty-one @entity1 (6%) had valve reconstruction by a technique of leaflet plication and posteromedial anuloplasty. Eleven of these @entity1 had associated @entity299 requiring correction: 2 requiring aortic valve replacement and 9 requiring coronary artery bypass grafting procedures. One @entity204 (3%) and 6 late deaths (19%) occurred, of which only 3 were related to cardiac factors. Major complications included recurrent @entity339 in 5 @entity1 and @entity999 in 1 @entity1 . The adjusted 5-year survival rate was 89 +/- 6 (mean +/- standard error of the mean), and the overall survival rate of @entity1 free of @entity299 was 73 +/- 9%. Thus, reconstruction of the mitral valve is a highly effective surgical approach to the management of symptomatic @entity1 with @entity339 secondary to @entity3454 , and its use is favored over replacement in the management of these @entity1 .

Results of valve reconstruction for @entity339 secondary to XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral valve disease', 'MR', 'mitral regurgitation'] @entity999 :: ('MESH:D020766', 'Disease') :: ['cerebral embolus'] @entity3454 :: ('MESH:D008945', 'Disease') :: ['Mitral valve prolapse', 'MVP'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac disease', 'cardiac-related complications'] @entity204 :: ('MESH:D003643', 'Disease') :: ['hospital death'] @entity528 :: ('MESH:D009410', 'Disease') :: ['myxomatous degeneration']
@entity3454 :: (MESH:D008945,Disease) :: ['mitral valve prolapse']
