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Carpentier Ring Annuloplasty in Severe Noncalcific Mitral Insufficiency
Paramjeet S. Chopra, MD;
George G. Rowe, MD;
William P. Young, MD;
Louise L. Loring;
Richard C. Hamann;
Donald R. Kahn, MD
Arch Surg. 1977;112(12):1469-1471.
Abstract
• Sixteen patients have undergone Carpentier ring annuloplasty for severe mitral insufficiency (Ml) since 1974. Our criteria were clinical and angiographic evidence of severe noncalcific Ml, a dilated mitral anulus, absence of severe subvalvular chordal thickening, and no major loss of leaflet substance. Carpentier annuloplasty has been successful in eliminating Ml in every patient except one. There have been no embolic problems and no early or late deaths. From 1971 to 1974, a similar group of 20 patients with the same diagnosis underwent prosthetic valve replacement. Even though all patients were receiving anticoagulant drugs, three had emboli and there were one early and three late deaths. In patients with severe noncalcific MI who meet our criteria, Carpentier ring annuloplasty is preferable to valve replacement, thus eliminating the hazards of a prosthesis and of long-term anticoagulant therapy.
(Arch Surg 112:1469-1471, 1977)
Author Affiliations
From the Division of Thoracic and Cardiovascular Surgery, University of Wisconsin Hospitals, Madison.
Footnotes
Accepted for publication July 12, 1977.
Read before the 25th scientific meeting of the International Cardiovascular Society, Rochester, NY, June 17, 1977.
Reprint requests to University of Wisconsin Hospital, 1300 University Ave, Madison, WI 53706 (Dr Chopra).
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ABSTRACT
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