Background: Folding plasty (FP) for posterior mitral leaflet repair (PLR) is a technique that reduces the height of the repaired leaflet, closes the gap created by leaflet resection by rotation of residual leaflet, and reduces the need for localized annular plication. This report reviews late outcomes with FP repair.

Methods: From January 1994 to August 2006, 1,402 mitral valve repairs were performed for degenerative disease: 1,012 had PLR and 531 had FP technique.

Results: Overall hospital mortality was 2.4% (33 of 1,402 patients) and 1.3% (14 of 1,103 patients) for isolated mitral repair. For those patients with PLR, mortality for all procedures was 1.5% (15 of 1,012 patients) and 1.2% (11 of 891 patients) for isolated PLR repairs. Mortality was 0.9% (5 of 531 patients) for FP. In the last 5 years FP was used in 64.4% of PLR, compared with 35.6% of PLR in the prior era (p < 0.001). The 10-year actuarial freedom from mitral reoperation was 89%; 10-year freedom from reoperation or recurrent severe mitral insufficiency was 86% with FP and 87% without (p = 0.76). The 5-year freedom from reoperation or recurrent severe insufficiency was 89% when an annuloplasty device was used and 62% when not used (p < 0.001).

Conclusions: Repair of posterior leaflet prolapse with FP is straightforward and durable. In our experience, FP is currently used for two thirds of PLR. These data also confirm that valve repair for degenerative disease should include an annuloplasty device for optimal late results.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.athoracsur.2009.10.055DOI Listing

Publication Analysis

Top Keywords

folding plasty
8
mitral valve
8
valve repair
8
degenerative disease
8
patients isolated
8
freedom reoperation
8
reoperation recurrent
8
recurrent severe
8
annuloplasty device
8
plr
7

Similar Publications

"Folding Fan Flap": A Novel and Dependable Surgical Technique for Crow's Feet Correction by Z-Plasty of Orbicularis Oculi Muscle.

Aesthetic Plast Surg

October 2024

The Department of Perineal Plastic Surgery and Gender Reshaping of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.33 Badachu Road, Shijingshan District, Beijing, People's Republic of China.

Objective: The challenge of crow's feet surgical correction is to minimize the complication caused by orbicularis oculi muscle (OOM) resection while ensuring the operative effect. This study aims to propose a novel technique to solve this problem and evaluate its efficacy.

Methods: From January 2022 to April 2024, all patients who received "Folding fan flap" in our institution were included.

View Article and Find Full Text PDF
Article Synopsis
  • The epicanthus is a common eye feature among Asians, often prompting requests for medial epicanthoplasty to improve appearance by removing the prominent fold.
  • Traditional surgical methods have varied success and often result in significant scarring, which is particularly concerning for Asian patients prone to visible scars.
  • A newer technique called skin re-draping focuses on making inconspicuous incisions and has shown better results with less scarring, though it requires careful execution due to the complexity of the eye's anatomy.
View Article and Find Full Text PDF

Evaluation of Long-Term Outcomes of Transverse Facial Cleft Repair.

Cleft Palate Craniofac J

February 2024

Department of Plastic and Reconstructive Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Objective: To evaluate the long-term outcomes of linear commissuroplasty and linear skin closure with a focus on commissural migration.

Design: Retrospective study.

Patients: Individuals who underwent transverse facial cleft repair at a single institution between 2004 and 2021.

View Article and Find Full Text PDF

Introduction: In 2015, we described a capsule-thickening technique via an anterior approach for iliopsoas cup impingement. To our knowledge, medium-term results have not been reported. We therefore retrospectively analyzed all cases in the initial series and those since 2015, to assess this original technique over a longer follow-up: (1) to analyze complications, and (2) to assess functional outcome.

View Article and Find Full Text PDF

Novel method for correcting cephalic rotation in Asian nasal tip plasty.

J Plast Reconstr Aesthet Surg

January 2023

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:

Background: To correct nasal tip cephalic rotation, SEG made of cartilage or Medpor are often used in rhinoplasty. These techniques require extensive experience for the surgeon, and not all patients can accept this procedure. In this research, we introduce a new method to correct nasal tip cephalic rotation that is relatively simple and rapid.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!