Variablea | Value |
---|---|
Mitral valve surgery | |
Salvage | 2 (4) |
Emergent | 29 (60) |
Urgent | 11 (23) |
Elective | 6 (13) |
Timing of mitral valve surgery | |
Surgery ≤7 days after MI | 27 (56) |
Surgery >7 days and ≤30 days after MI | 9 (19) |
Surgery >30 days after MI | 12 (25) |
Posteromedian papillary muscle rupture | 42 (88) |
Complete | 15 (36) |
Incomplete | 2 (5) |
Partial | 25 (59) |
Anterolateral papillary muscle rupture | 5 (10) |
Complete | 4 (80) |
Incomplete | 0 (0) |
Partial | 1 (20) |
PMPM and ALPM rupture (both complete) | 1 (2) |
Leaflet prolapse | |
AMVL prolapse | 12 (25) |
PMVL prolapse | 15 (31) |
AMVL and PMVL prolapse | 21 (44) |
Surgical approach | |
Left atriotomy | 34 (71) |
Transseptal | 13 (27) |
Left ventriculotomy | 1 (2) |
Mitral valve replacement | 38 (79) |
Mmechanical prosthesis | 35 (92) |
Bioprosthesis | 3 (8) |
(partial) preservation of the subvalvular apparatus | 24 (63) |
Mitral valve repair | 10 (21) |
Reimplantation of the PM in the LV wall and annuloplasty ring (Carpentier-Edwards Classic) | 1 (10) |
Reimplantation of the PM in the corresponding PM with a sandwiched pledget-reinforced PTFE suture and annuloplasty ring (Carpentier-edwards Classic or Physio II | 2 (20) |
Quadrangular resection of P2 and annuloplasty ring (Carpentier-Edwards Classic or Carbomedics)b | 6 (60) |
Commissuroplasty and annuloplasty ring (Carpentier- Edwards Physio II) | 1 (10) |
Intraoperative mitral valve repair failure | 1 (9) |
Concomitant surgery | 28 (58) |
Coronary artery bypass grafting | 24 (50) |
Septal rupture closure | 2 (4) |
Aortic valve replacement | 1 (2) |
Tricuspid valve plasty | 2 (4) |
Duration of surgery, min | 278 ± 88 |
Cardiopulmonary bypass time, min | 178 ± 68 |
Aortic cross-clamp time, min | 98 ± 36 |
Intraoperative IABP requirement | 24 (50) |