[HSF] MV Repair Failure

[Ani Anyanwu]

Hal the paper was presented at AATS this year so you can se the summary in the abstract book if you have it. In absolute numbers Barlow had a higher recurrence rate but then when he excluded what he called risk factors (such as those patients where sliding plasty was not used, no ring was used etc) the recurrence rate did not seem to differ (barlow 2.9% per year, Fibroelastic deficiency 2.2% per year). The paper did have a lot of flaws though and the total recurrence rate was high (35% had at least moderate MR 10 years post repair).
 
I would expect Barlow valves to have worse outcome though - the entire valve is undoubtedly diseased here so I think the possibility of continued chordal elongation, new rupture, chordal fusion causing IIIA dysfunction, calcification etc would exceed that of fibroelastic deficiency. It is interesting that although you believe the reverse (that Barlow repairs are most durable), Barlow remains a common indication for valve replacement on the presumed premise that they cannot be repaired durably.
 
Ani
 



> From: Hgrmd at aol.com> Date: Sun, 2 Sep 2007 08:33:29 -0400> Subject: Re: [HSF] MV Repair Failure> To: OpenHeart-L at lists.hsforum.com> CC: > > Ani,> I'll be interested to read Flemeng's paper on the durabilitiy of Barlow's > vs. FED. Don't keep me in suspense, which one is better? I'd predict > Barlow's would be more durable due to the ability to fashion a large surface of > coaptation from the excess leaflet tissue.> > Hal> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> _______________________________________________> 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> -----------------------------------------
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