Thorac Cardiovasc Surg 2009; 57(6): 363-364
DOI: 10.1055/s-0029-1185562
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Biodegradable Mitral Annuloplasty for Congenital Ischemic Mitral Regurgitation

P. O. Myers1 , M. Beghetti2 , A. Kalangos1
  • 1Division of Cardiovascular Surgery, Geneva University Hospitals and Medical School, Geneva, Switzerland
  • 2Division of Pediatric Cardiology, Children's Hospital, Geneva, Switzerland
Further Information

Publication History

received January 19, 2009

Publication Date:
25 August 2009 (online)

Abstract

An anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is associated with ischemic mitral regurgitation through a combination of papillary muscle ischemia or permanent fibrosis, left ventricular free wall ischemic dyskinesis and left ventricular dilatation. We report the successful management of a 27-month-old girl with ALCAPA and severe mitral regurgitation using a biodegradable mitral annuloplasty ring. It could represent a novel tool for mitral valve repair in ALCAPA-associated ischemic mitral regurgitation.

References

  • 1 Kalangos A, Sierra J, Vala D, Cikirikcioglu M, Walpoth B, Orrit X, Pomar J, Mestres C, Albanese S, Jhurry D. Annuloplasty for valve repair with a new biodegradable ring: an experimental study.  J Heart Valve Dis. 2006;  15 (6) 783-790
  • 2 Sierra J, Lahlaïdi N H, Christenson J T, Kalangos A. Mitral valve insufficiency: suspension of the posterior leaflet to the mitral annuloplasty ring.  Ann Thorac Surg. 2008;  85 (2) e6-e8
  • 3 Cochrane A D, Coleman D M, Davis A M, Brizard C P, Wolfe R, Karl T R. Excellent long-term functional outcome after an operation for anomalous left coronary artery from the pulmonary artery.  J Thorac Cardiovasc Surg. 1999;  117 (2) 332-342
  • 4 Isomatsu Y, Imai Y, Shin'oka T, Aoki M, Iwata Y. Surgical intervention for anomalous origin of the left coronary artery from the pulmonary artery: the Tokyo experience.  J Thorac Cardiovasc Surg. 2001;  121 (4) 792-797
  • 5 Alexi-Meskishvili V, Hetzer R, Weng Y, Lange P E, Jin Z, Berger F, Loebe M. Anomalous origin of the left coronary artery from the pulmonary artery. Early results with direct aortic reimplantation.  J Thorac Cardiovasc Surg. 1994;  108 (2) 354-362
  • 6 Ibrahim M F, David T E. Mitral stenosis after mitral valve repair for non-rheumatic mitral regurgitation.  Ann Thorac Surg. 2002;  73 (1) 34-36
  • 7 Yunoki J, Minato N, Katayama Y, Sato H. Mitral valve stenosis caused by abnormal pannus extension over the prosthetic ring and leaflets after Duran ring mitral annuloplasty.  J Card Surg. 2009;  24 (2) 143-145
  • 8 Kalangos A, Christenson J T, Beghetti M, Cikirikcioglu M, Kamentsidis D, Aggoun Y. Mitral valve repair for rheumatic valve disease in children: midterm results and impact of the use of a biodegradable mitral ring.  Ann Thorac Surg. 2008;  86 (1) 161-168

Dr. MD Patrick O. Myers

Geneva University Hospitals and Medical School
Division of Cardiovascular Surgery

24, rue Micheli-du-Crest

1211 Geneva 14

Switzerland

Phone: + 41 2 23 72 76 24

Fax: + 41 2 23 72 76 34

Email: patrick.myers@hcuge.ch

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