Shore D F, Wong P, Paneth M, Buckley M J
J Thorac Cardiovasc Surg. 1980 Mar;79(3):349-57.
Between January, 1975, and October, 1978, a total of 243 patients underwent repair of the mitral valve with a suture plication technique. Mitral valve replacement (MVR) was performed in 36 cases in which significant residual regurgitation was apparent on testing the valve after repair. The hospital mortality rate was 5.7%. Five patients required MVR within 1 month of operation. A total of 190 patients were discharged from hospital with what was considered to be a satisfactorily functioning mitral valve. Excluding patients from overseas, detailed follow-up information is available in 80 cases. Of these 80 patients, 13 have subsequently undergone MVR. Factors favorably affecting survival and durability of repair are degenerative valve disease and age below 55 years. Clinical and echocardiographic assessment indicate that this method of repair initially produces good symptomatic improvement and a normal or nearly normal pattern of left ventricular filling. The good early results are only maintained in patients with degenerative valve disease. We therefore no longer use or recommend this technique for elderly patients with rheumatic valve disease.
1975年1月至1978年10月期间，共有243例患者采用缝线折叠技术进行二尖瓣修复。其中36例在修复后测试瓣膜时出现明显的残余反流，遂进行二尖瓣置换术（MVR）。医院死亡率为5.7%。5例患者在术后1个月内需要进行MVR。共有190例患者出院时二尖瓣功能被认为良好。排除海外患者后，80例患者有详细的随访信息。在这80例患者中，有13例随后接受了MVR。有利于修复存活和耐久性的因素是退行性瓣膜病和年龄低于55岁。临床和超声心动图评估表明，这种修复方法最初能使症状得到良好改善，左心室充盈模式正常或接近正常。良好的早期结果仅在退行性瓣膜病患者中得以维持。因此，我们不再对患有风湿性瓣膜病的老年患者使用或推荐这种技术。
