OBJECTIVE: This study was carried out to evaluate the long-term results of mitral valve repair for @entity339 caused by @entity66 of the mitral valve and the late effects of chordal replacement with expanded @entity736 sutures in this operation. METHODS: A total of 324 @entity1 with @entity339 caused by @entity66 underwent mitral valve repair from 1981 to 1995; the group comprised 241 @entity1 and 83 @entity1 whose mean age was 58 +/- 14 years. Chordal replacement with expanded @entity736 sutures has been performed in 165 @entity1 since 1985. Most of the @entity1 who had chordal replacement with expanded @entity736 sutures had prolapse of the anterior leaflet or prolapse of both leaflets, whereas most @entity1 who had mitral valve repair without chordal replacement had prolapse of the posterior leaflet. @entity1 were followed up at annual intervals and had a Doppler echocardiographic study. The follow-up was complete and extended from 6 to 156 months (mean 36 +/- 30 months). RESULTS: Two operative and 21 late @entity204 occurred (14 cardiac and 7 noncardiac). At 10 years the actuarial survival was 75% +/- 5%, the freedom from @entity64 was 94% +/- 2%, the freedom from transient @entity63 attacks was 92% +/- 4%, the freedom from @entity884 was 99% +/- 1%, the freedom from mitral valve reoperation was 96% +/- 1%, and the freedom from severe @entity339 was 93% +/- 3%. Chordal replacement with expanded @entity736 sutures had no effect on any of these end points. CONCLUSIONS: Mitral valve repair was feasible in most @entity1 with @entity339 caused by @entity66 and it was associated with low rates of @entity340 . Chordal replacement with expanded @entity736 had no adverse effect on the late outcome and was believed to have increased the probability of mitral valve repair.

Long-term results of mitral valve repair for XXXX with and without chordal replacement with expanded @entity736 sutures.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral regurgitation'] @entity66 :: ('MESH:D004194', 'Disease') :: ['myxomatous disease'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity736 :: ('CHEBI:53251', 'Chemical') :: ['polytetrafluoroethylene'] @entity340 :: ('MESH:D006349', 'Disease') :: ['valve-related complications'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity884 :: ('MESH:D004696', 'Disease') :: ['endocarditis']
@entity66 :: (MESH:D004194,Disease) :: ['myxomatous disease']
