Plastica della valvola mitrale nell'insufficienza di natura reumatica Valve repair in pure rheumatic mitral insufficiency

Carlo Fucci, Mario Ferrari, Giovanni La Canna, Giuseppe Coletti, Matilde Nardi, Francesco Maisano, Margherita Dalla Tomba, Ottavio Alfieri

Research output: Contribution to journalArticlepeer-review


OBJECTIVES. Emerging evidence indicates that etiology plays an essential role in the results of mitral va/ve repair. In this study, we examined the long-term performance of this procedure in 61 consecutive patients with pure rheumatic mitral insufficiency. PATIENTS. Patient ages ranged from 4 to 74 years (mean: 51.7 -16). Preoperatively, 94% of the patients were in NYHA class II or III. RESULTS. There was no hospital mortality. According to actuarial methods 94.1% of the patients were alive 7 years postoperative/y and 83.3% were reoperation free. Freedom from reoperation was significantly higher in patients who received a prosthetic ring than in those who had other types of annuloplasty (96.7% vs 59.3%; p = 0.001). As opposed to the literature, in our series there was no relationship between valve failure and age at the time of reoperation. There were only two cases of thromboembolism and one of infective endocarditis. CONCLUSIONS. This study confirms that mitral va/ve reconstruction in rheumatic valve insufficiency can yield satisfactory long-term clinical results, although they are less than optimum compared with those obtained in patients with degenerative disease. Favourable results depend on routine use of a prosthetic ring as well as adequate patient selection. Attention should be focused on improved detection and suppression of rheumatic activity at the time of operation.

Original languageItalian
Pages (from-to)544-548
Number of pages5
JournalGiornale Italiano di Cardiologia
Issue number6
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this