Mitral valve procedure in dilated cardiomyopathy: repair or replacement? Antonio M Calafiore, MD, Sabina Gallina, MD, Michele Di Mauro, MD, Filoteo Gaeta,

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Presentation transcript:

Mitral valve procedure in dilated cardiomyopathy: repair or replacement? Antonio M Calafiore, MD, Sabina Gallina, MD, Michele Di Mauro, MD, Filoteo Gaeta, MD, Angela L Iacò, MD, Stefano D’Alessandro, MD, Valerio Mazzei, MD, Gabriele Di Giammarco, MD The Annals of Thoracic Surgery Volume 71, Issue 4, Pages 1146-1152 (April 2001) DOI: 10.1016/S0003-4975(00)02650-3

Fig 1 Correlation between mitral valve coaptation depth (MVCD) and (A) left ventricular (LV) sphericity index, (B) mitral annulus size (mm/m2), and (C) ejection fraction. Dotted lines represent 95% confidence interval. The Annals of Thoracic Surgery 2001 71, 1146-1152DOI: (10.1016/S0003-4975(00)02650-3)

Fig 2 Mitral valve coaptation depth in the healthy subject. The Annals of Thoracic Surgery 2001 71, 1146-1152DOI: (10.1016/S0003-4975(00)02650-3)

Fig 3 Perioperative transesophageal echocardiography. (A) Mitral annulus was dilated (25 mm/m2) and (B) severe functional mitral regurgitation was present. Mitral valve coaptation depth was 13 mm. This patient underwent mitral valve repair. (C) Despite reduction annuloplasty (16 mm/m2), moderate functional mitral regurgitation persisted. The patient had a successful mitral valve replacement. The Annals of Thoracic Surgery 2001 71, 1146-1152DOI: (10.1016/S0003-4975(00)02650-3)

Fig 4 Actuarial survival. The Annals of Thoracic Surgery 2001 71, 1146-1152DOI: (10.1016/S0003-4975(00)02650-3)

Fig 5 Actuarial possibility to be alive and improved by at least one New York Heart Association functional class. The Annals of Thoracic Surgery 2001 71, 1146-1152DOI: (10.1016/S0003-4975(00)02650-3)