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European Heart Journal 1991 12(Supplement B):52-54; doi:10.1093/eurheartj/12.suppl_B.52
Copyright © 1991 by the European Society of Cardiology.
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© 1991 The European Society of Cardiology

Indications for surgery in mitral regurgitation

J. Acar, P. L. Michel, P. Luxereau, A. Vahanian and B. Cormier

Hôpital Tenon, 4 rue de la Chine, 75970, Paris, Cedex 20, France

Correspondence: Professor Jean Acar, Hôpital Tenon, Rue de la Chine, 75970 Paris, Cedex 20, France.

Present day indications for surgery in mitral regurgitation have to take into account changes in aetiology, advances in pre-operative evaluation of mitral lesions, technical progress in mitral valve repair and better knowledge of pre-operative predictive factors of surgical results.

The results of a series of 294patients operated on between 1970 and 19 show that surgery b advbable before patients reach Functional Class III or IV, and before they develop atrial fibrillation, an ejection fraction of under 0.5, or marked left ventricular and atrial enlargement. Surgical indications depend on two factors: the possibility of valve repair evaluated by transthoracic and transoesophageal echocardiography, and the experience of the surglcal team in this kind of surgery.

Valve repair is the best treatment in many patients, particularly those with degenerative valve lesions, poor ejection fraction, elderly people and some cases of infective endocarditis.

Key Words: Mitral regurgitation • mitral valve repair • mitral surgery • degenerative mitral lesions


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