Abstract

One hundred thirty-three patients who underwent measured asymmetric annuloplasty for mitral regurgitation have been followed up for up to 11 years. The procedure has a very small operative risk and, for patients with rheumatic heart disease, a very low late mortality and morbidity rate. Early good results have been sustained for this follow-up period. Late breakdown of the repair has not been seen after 3 years unless infection or recurrent rheumatic fever intervened, nor has significant late stenosis been seen as a result of measured annuloplasty. These findings suggest that when the valve is repaired by this technique, competency is assured and an adequate orifice results.

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