1983
DOI: 10.1055/s-2007-1021999
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Abstract: In 45 consecutive patients mitral valve replacement was performed leaving the posterior mitral leaflet and its chordal attachment to both papillary muscles intact (Lillehei's technique). Most patients showed moderate to severe pulmonary hypertension before surgery, 15 of the patients had double valve operations and 4 had a triple valve procedure. All patients survived and were discharged, the postoperative courses being remarkably uneventful with only very limited need of inotropic support in 3 patients and re… Show more

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Cited by 67 publications
(23 citation statements)
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References 4 publications
(5 reference statements)
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“…[5][6][7][8][9][10][11][12][13] These advantages are not limited to patients with mitral valve insufficiency; Borger et al evaluated 513 reoperative MVRs in a mixed group of patients with various etiologies ,the mortality rate was 3.6% in patients for whom the subvalvular structures were preserved and 13.3% in patients for whom the subvalvular structures were not preserved (p<0.001). 26 Wu et al showed the superiority of the replacement with preservation of subvalvular structures in rheumatic mitral insufficiency compared with conventional replacement, in terms of mortality, the need for postoperative intensive care unit admission, left ventricular function, and cardiac sizes.…”
Section: Discussionmentioning
confidence: 99%
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“…[5][6][7][8][9][10][11][12][13] These advantages are not limited to patients with mitral valve insufficiency; Borger et al evaluated 513 reoperative MVRs in a mixed group of patients with various etiologies ,the mortality rate was 3.6% in patients for whom the subvalvular structures were preserved and 13.3% in patients for whom the subvalvular structures were not preserved (p<0.001). 26 Wu et al showed the superiority of the replacement with preservation of subvalvular structures in rheumatic mitral insufficiency compared with conventional replacement, in terms of mortality, the need for postoperative intensive care unit admission, left ventricular function, and cardiac sizes.…”
Section: Discussionmentioning
confidence: 99%
“…David et al and Hetzer et al have examined mitral valve replacement with chordal preservation. 5,6 Following these studies, both clinical and experimental studies showed the favorable effects of preserving subvalvular structures during mitral valve replacement on LV systolic functions in the early and late postoperative periods in patients with chronic mitral insufficiency. [7][8][9][10][11][12][13] Myocardial fibers originate from the fibrous skeleton of the heart and ends there.…”
Section: Mitral Valve Replacement With Papillary Muscle Resuspension mentioning
confidence: 99%
“…In the late seventies and early eighties there was renewed interest as surgeons realized the importance of SVA preservation and innovated different newer technique of total and partial preservation [2][3][4] . Consequently number of studies showed improvement in operative survival by subvalvular apparatus preservation (SAP) and in subsequent years studies supported the improved outcome of SAP in patients undergoing MVR in terms of short term and long term survival, functional capacity and evidence of improved echocardiographic ventricular function and dimensions.…”
mentioning
confidence: 99%
“…Recently, surgical mitral valve replacement with preserving the mitral apparatus has been revived. [2][3][4][5] Support for this procedure also comes from animal studies. Sarris et a16 demonstrated that cutting the chordae tendineae depressed left ventricular systolic function in ejecting dog hearts as quantified with the end-systolic elastance and slope of stroke work-end-diastolic volume relation.…”
mentioning
confidence: 99%
“…The plastic ring with bevel edge was attached to left ventricular side ofthe valve ring (2). The angle between control cable and valve ring was reduced (3), and the tip of the cable was positioned as close to the disc of the valve as possible (4).…”
mentioning
confidence: 99%