[HSF] small Mitral valve

[Salerno, Tomas]

I do not think that there are long term results either from the Batista own patients and the Alfieri's repair. Batista surgery is rarely performed now although it has important historical perspectives.   I personally have not used the Alfieri's repair, although it was an excellent idea and may be suitable in some rare circumstances. 

 

Tomas

 

Tomas,
  What followup, if any, was there for Batista's ventricular side  Alfieri
repairs?  In all series that I've seen, including Alfieri's, this  type of
repair without an accompanying ring has terrible long term  results.  In Alfieri's
large series, over 60% had moderate or worse MR at  the end of 2 years.  If I
had those kinds of results, I wouldn't have a  significant mitral practice. 
Why do a procedure that has no demonstrable  long term track record?  The
correct approach to this problem is  transatrial insertion of a full rigid or
semirigid ring.  Flexible bands,  flexible rings, Devegas, and unsupported
Alfieri's all have poor long term  performance according to what I've read in the
literature as well as my own  personal experience (Many years ago, I saw Cosgroves
inserted for pure annular  dilatation fail within a few months).
  If it exists, somebody please show me a reference that demonstrates  the
long term durability of a mitral repair done via a left  ventriculotomy.
Hal
_______________________________________________
OpenHeart-L mailing list

Send postings to:
 OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------