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Updated: Aug 10, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Reconstructive surgery of the mitral valve. Experience with 400 cases]
A Juárez Hernández1, S Ramírez Marroquín, R Chávez Domínguez
1Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Archivos Del Instituto De Cardiologia De Mexico
|January 20, 2000
Summary
Conservative mitral procedures for valvulopathies yielded satisfactory results, with a 98% actuarial survival rate over 13 years. This approach offers a viable alternative to valve prosthesis placement for suitable patients.
Area of Science:
- Cardiovascular Surgery
- Cardiac Procedures
- Valvular Heart Disease
Background:
- Valvulopathies, including rheumatic, congenital, and myxomatous heart disease, often present in advanced functional classes (III-IV) with cardiomegaly.
- Conservative mitral procedures were performed on 400 patients between 1980 and 1992.
- Most patients had rheumatic heart disease (364), followed by congenital abnormalities (33).
Purpose of the Study:
- To evaluate the efficacy and long-term outcomes of conservative mitral procedures.
- To present these techniques as a potential alternative to prosthetic valve replacement.
- To highlight the
- Tension Stitch
- procedure for cardiac surgeons.
Main Methods:
- A review of 400 valvulopathy cases undergoing conservative mitral procedures from January 1980 to December 1992.
- Procedures included commissurotomy, subvalvular apparatus opening, annuloplasty ring insertion, and the
- Tension Stitch
- technique.
- Analysis of reoperation rates, mortality, and long-term survival.
Main Results:
- Satisfactory outcomes were achieved with a 9.2% reoperation rate, primarily due to fibrosis and technical issues.
- The mortality rate was 2%, attributed to patients' poor clinical condition rather than the procedures themselves.
- A 13-year follow-up revealed an actuarial survival of 98% and 90.8% freedom from reoperation, with good post-operative quality of life.
Conclusions:
- Conservative mitral procedures demonstrate favorable long-term results and good quality of life.
- These techniques are a viable alternative to prosthetic valve implantation for selected patients.
- The study encourages wider consideration of these conservative approaches by cardiac surgeons.
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