Mortality Rates of Surgical Techniques for Correcting Atrioventricular Disjunction

Braz J Cardiovasc Surg. 2020 Dec 1;35(6):994-998. doi: 10.21470/1678-9741-2020-0041.

Abstract

We compared the mortality rates of two surgical techniques for correction of atrioventricular disjunction in 10 out of 720 patients who underwent mitral valve replacement from 2005 to 2012. In group I, the mitral annulus was fixed with bovine pericardial strips; in group II, a 'patch' of bovine pericardium was sutured and extended from the base of the lateral and medial papillary muscles, covered the posterior wall of the left ventricle, went through the posterior mitral annulus, and ended in the posterior wall of the left atrium adjacent to the mitral ring. The group II technique showed a lower mortality.

Keywords: Heart Atria; Heart Ventricles; Mitral Valve; Papillary Muscles; Pericardium; Tricuspid Valve.

MeSH terms

  • Animals
  • Atrioventricular Node / surgery*
  • Cattle
  • Humans
  • Mitral Valve Insufficiency*
  • Mitral Valve* / surgery
  • Papillary Muscles / surgery
  • Pericardium / transplantation
  • Tricuspid Valve