Long-term Results Following Mitral Valve Repair for Degenerative Mitral Regurgitation

Abstract

tively) or after postponement of surgery (p= 0.79 and p= 0.91, respectively). However at the middle measurement (week-of-surgery) women did not have a drop in depressive symptom levels like men did (p= 0.01), and instead maintained similar depression levels as at baseline. There was a trend towards significance for the same pattern in anxiety symptoms (p= 0.07). Conclusion: There may be gender differences in psychoemotional symptoms at the week of scheduled CABG surgery. doi:10.1016/j.hlc.2008.05.159 159 Long-term Results Following Mitral Valve Repair for Degenerative Mitral Regurgitation Michael Gardner ∗, Kenneth Hossack St Andrews Hospital, Brisbane, Australia Mitral valve repair is now the accepted standard for severe degenerative mitral regurgitation. From 1991 to June 2007, 570 patients underwent mitral repair. Age 19–89 years (average 65). 391 males and 179 females. NYHA Class: I 85, II 226, III 177, and IV 72. Pre-op TTE: MR Grades 3–4 in 526 (96%), EF 30–85 (65%), LVESD 20–69 (36). Mechanism MR: Post leaflet 369, bileaflet 135, anterior l T t p r r c A m 1 P T r S r E b L ( Survival in 488 patients 80% at 11 years. Freedom from reoperation 90% at 11 years. Freedom from reoperation and >Grade 2 MR 90% at 10 years. Freedom from TE beyond 3/12 was 93% at 10 years. Significant factors for reoperation were: >0-Trace MR on post-pump TOE and anterior leaflet repair. Mitral valve repair can be successfully performed in the great majority of patients with degenerative disease with excellent quality of life and good long-term results. doi:10.1016/j.hlc.2008.05.160 160 Minimally Invasive Cardiac Surgery: Experience with First Hundred Cases Kaushalendra Rathore ∗, Robert Stuklis, James Edwards Cardiothoracic Surgery Department, Royal Adelaide Hospital, Adelaide, SA, Australia Introduction: Port–Access surgery, which involves approaching the heart through ports of small size, has been one of the most original and controversial methods of minimally invasive surgery in recent times. It is a prospective study of cases underwent MIS for one or another reasons. Materials andmethods: Inclusion criteria’s are all isolated mitral valve disease, intracavitory tumors, redo surgery, a b R o p P d l a r n o w t e C t m c