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From April 1979 through January 1989, 71 patients with mitral insufficiency were surgically treated, 53 of them (74,6%) submitted to valvuloplasty. From this group 21 patients had associated mitral estenosis. Rheumatic fever was the major cause of the mitral lesions (79,2%). All patients, but 3, were situated in funcional class III and IV (NYHA). Anuloplasty (Carpentier ring and Gregori-IMC) were made associated to plastic procedures at the leaflet and the subvalvar set. In the postoperative period, we observed: no hospital mortality; early postoperative evolution was better in patients subjected to surgery in the period from 84 through 89, in comparison to the anterior period (79-83); reoperation index very acceptable at the late postoperative (5,7%); satisfactory clinical and hemodynamic late evolution; better evolution in the group of patients in the functional class postoperative II and III; better evolution in the group of patients with mitral insufficiency without associated stenosis.

Tratamento cirúrgico da insuficiência mitral em crianças: dez anos de técnicas reparadoras