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pubmed-article:2712625pubmed:dateCreated1989-6-2lld:pubmed
pubmed-article:2712625pubmed:abstractTextThis study was undertaken to determine whether rigid-ring annuloplasty and flexible-ring annuloplasty have the same effect on left ventricular function in patients with chronic mitral regurgitation secondary to degenerative disease of the mitral valve. Twenty-five patients who underwent isolated mitral valve repair and required annuloplasty were randomized into two groups: rigid-ring and flexible-ring annuloplasty. Left ventricular function was assessed by echocardiography and radionuclide angiography on the day before operation and 2 to 3 months later. Preoperative left ventricular function was similar in the two groups of patients. Postoperatively, left ventricular end-diastolic diameter and volume decreased significantly in both groups. The left ventricular end-systolic diameter and volume decreased significantly only in patients with a flexible annuloplasty ring. Left ventricular systolic function as assessed by pressure-volume relationships was significantly better in patients with a flexible ring (p less than 0.02 by analysis of covariance), and left ventricular performance measured by stroke volume-end-diastolic volume relationships was also better in these patients (p less than 0.05 by analysis of covariance). These data indicate that patients with a flexible annuloplasty ring have better left ventricular systolic function than patients with a rigid annuloplasty ring 2 to 3 months after mitral valve reconstruction for chronic mitral regurgitation secondary to degenerative disease of the mitral valve.lld:pubmed
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pubmed-article:2712625pubmed:pagination524-7; discussion 527-8lld:pubmed
pubmed-article:2712625pubmed:dateRevised2007-11-15lld:pubmed
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pubmed-article:2712625pubmed:year1989lld:pubmed
pubmed-article:2712625pubmed:articleTitleMitral valve annuloplasty: the effect of the type on left ventricular function.lld:pubmed
pubmed-article:2712625pubmed:affiliationDivision of Cardiovascular Surgery, Toronto Western Hospital, Ontario, Canada.lld:pubmed
pubmed-article:2712625pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:2712625pubmed:publicationTypeClinical Triallld:pubmed
pubmed-article:2712625pubmed:publicationTypeRandomized Controlled Triallld:pubmed
pubmed-article:2712625pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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