• Rocío García-Orta, Eduardo Moreno-Escobar, María F Ruiz-López, Matilde Vidal-Alarcón, Juan Lara-Torrano, and José Azpitarte.
• Servicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada, España. eduroc@telefonica.net
• Rev Esp Cardiol. 2006 Jul 1; 59 (7): 743-6.

AbstractWe analyzed the results of mitral valve repair in 81 consecutive patients with severe mitral regurgitation. Of these patients, 66.6% had myxomatous degeneration, 11% ischemic disease, 8% chordal rupture, 5% congenital disease, and 3.7% endocarditis. Repair could not be achieved in five patients, and valve replacement was necessary. Six died during surgery (mortality 7%). During follow-up (mean 30 [8] months), there was one death due to refractory ischemic heart failure and mitral regurgitation (>or= 2/4) was observed in 11 patients. A good result (i.e., survival without a prosthesis, major complications, or mitral regurgitation >1/4) was obtained in 78% of patients with myxomatous degeneration versus 48% of those with other etiologies (P=.023). A good result was obtained more frequently in cases of isolated posterior cusp degeneration than in those involving degeneration of both cusps (85% vs 70%; P=.03).

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