OBJECTIVES: Reviewing reoperative mitral valve repair, we evaluated a predictor for future reoperation by comparing degenerative and @entity339 . METHODS: From June 1988 to September 2002, 159 @entity1 with @entity339 underwent a variety of surgical reconstruction. Our 9 subjects--2 @entity1 and 7 @entity1 with a mean age of 55.3 years--including 1 undergoing initial repair at an other hospital, underwent reoperation for mitral @entity340 . Four @entity1 had @entity627 (Group R) and 5 degenerative (Group D) @entity339 . We studied reoperative outcomes and initial procedures were retrospectively. RESULTS: The mean interval from initial repair was 111 months. @entity66 at reoperation in Group D were annular dilation in 3, leaflet prolapse in 1, and suture disruption in 1, while that in Group R involved severe thickening of both leafle. Rerepair was possible in 3 @entity1 of Group D, but all others, (including Group R @entity1 ) required valve replacement. All survived reoperation. CONCLUSIONS: Rerepair in @entity339 , rerepair was difficult. In @entity339 , however, rerepair was possible because procedure-related origin was a major cause of reoperation. Reoperation can be prevented by proper technical improvement at initial repair.

Reoperation in mitral valve repair for regurgitant XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral valve regurgitation', 'mitral valve disease', 'degenerative mitral valve regurgitation', 'rheumatic mitral regurgitation'] @entity627 :: ('MESH:D012216', 'Disease') :: ['rheumatic'] @entity66 :: ('MESH:D004194', 'Disease') :: ['Mitral valve lesions'] @entity340 :: ('MESH:D006349', 'Disease') :: ['valve lesions']
@entity339 :: (MESH:D008944,Disease) :: ['mitral valve disease']
