HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Nguyen Van Phan Phan Kim Phuong Alain Carpentier Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Phan, N. V. Articles by Carpentier, A. Search for Related Content PubMed Articles by Phan, N. V. Articles by Carpentier, A.

Mitral Valvuloplasty With Carpentier's Techniques

Heart Institute Ho Chi Minh City, Vietnam

Phan Nguyen Van, MD Heart Institute 520 Nguyen Tri Phuong Ho Chi Minh City, Q10, Vietnam Tel: 84 8 865 1586 Fax: 84 8 865 1543

From January 1992 to January 1997, 586 patients with mitral incompetence were treated by Carpentier's techniques in the Heart Institute of Ho Chi Minh City, Vietnam. Ages ranged from 6 to 60 years (mean, 26.4 ± 9.9 years) and 124 patients were younger than 15 years of age. Mitral valve incompetence was classified into three types according to leaflet pliability: type I, normal leaflet motion, 7 cases (1.2%); type II, leaflet prolapse, 185 cases (31.6%); type III, restricted leaflet motion, 394 cases (67.2%). Associated tricuspid valvular disease was present in 337 cases (57.5%). Mitral valve prosthetic ring annuloplasty was used in 532 cases (90.8%). The operative mortality rate was 1.9% (11/586). According to the New York Heart Association functional classification, 3.9% (23/586) of the patients were in class I, 52% (305/586) were in class II, 42.3% (248/586) were in class III, and 1.7% (10/586) were in class IV. Mitral valve disease was due to rheumatic fever in 96.7% of the patients. Follow-up data were available in 572 patients from 1 year to 5 years (mean, 38 months). The late mortality rate was 0.7% (4/572). Morbidity comprised endocarditis in 2 patients, one patient had a cerebral hemorrhage, and 16 patients underwent reoperation for recurrent mitral incompetence (incorrect operative indication). There were 2 incidents of thromboembolism. Patient selection was based on valvular disease rather than age, physical condition, or cause of valvular disease. The low mortality and complication rates in this series confirm that mitral valve reconstruction by Carpentier's techniques was appropriate for the patients with mitral incompetence, particularly for children.

This article has been cited by other articles:

				H.-Q. T. Ho, V.-P. Nguyen, K.-P. Phan, and N.-V. Pham Mitral Valve Repair with Aortic Valve Replacement in Rheumatic Heart Disease Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 341 - 345. [Abstract] [Full Text] [PDF]

				A T. Pezzella Is It Time to Look for an Alternative? Asian Cardiovasc Thorac Ann, December 1, 2001; 9(4): 356 - 356. [Full Text] [PDF]