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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Combined aortic and mitral valve repair

Toshinobu Kazui1, Hajime Kin, Hiroshi Izumoto

  • 1Department of Cardiovascular Surgery, Memorial Heart Center, Iwate Medical University, 1-2-1 Chuoudori, Morioka City, Iwate, Japan. t-kazui@pf6.so-net.ne.jp

Asian Cardiovascular & Thoracic Annals
|December 19, 2003
PubMed

Insights

Double valve repair for degenerative valvular disease offers excellent short-term outcomes. This study shows a 100% survival rate and improved heart function after concomitant mitral and aortic valve repair.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Disease

Background:

  • Degenerative valvular disease affects multiple heart valves.
  • Concomitant mitral and aortic valve disease often necessitates complex surgical intervention.

Purpose of the Study:

  • To evaluate the safety and efficacy of concomitant mitral and aortic valve repair.
  • To assess early clinical and echocardiographic outcomes of double valve repair.

Main Methods:

  • Retrospective review of surgical reports and clinical data for six patients undergoing double valve repair.
  • Analysis of preoperative and postoperative New York Heart Association (NYHA) classification scores.
  • Intraoperative transesophageal echocardiography to assess left ventricular dimensions.

Main Results:

  • No surgical complications or 30-day mortality.
  • Significant improvement in NYHA classification (2.2 to 1.0, p=0.03).
  • Reduction in left ventricular end-diastolic diameter (6.0 to 4.7 cm) and end-systolic diameter (3.7 to 3.1 cm).

Conclusions:

  • Concomitant mitral and aortic valve repair is a viable alternative to replacement in selected patients.
  • The procedure demonstrated favorable early outcomes with no major complications.
  • Further long-term studies with larger cohorts are warranted to confirm durability.

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