-transparent.png){kind=logo}
The benefits of performing left atrial plication during mitral valve surgery for patients with a giant left atrium were evaluated by analyzing the short- and long-term surgical results and changes in the left atrial dimension (LAD) and respiratory function of 30 patients. Of the 30 patients, 2 (7%) died of multiple organ failure on postoperative days 26 and 117, but no other deaths occurred during the mean follow-up of 5.9 +/- 2.1 years. Valve thrombosis was observed in one patient and cerebral complications with no residual deficit were observed in two patients, with a 9-year event-free rate of 87 +/- 7%. The LAD decreased significantly from 69.0 +/- 8.5 mm to 53.7 +/- 9.1 mm (P < 0.01) shortly after surgery, and this decreased was maintained even 5 years after surgery (53.3 +/- 11.4 mm). The cardiothoracic ratio decreased from 74.8 +/- 8.3% to 62.8 +/- 9.0% (P < 0.01) and the vital capacity of the lungs increased from 71.1 +/- 18.0% to 82.9 +/- 22.2% (P < 0.01). Thus, we conclude that performing left atrial plication during mitral valve surgery is safe and effective for patients with giant left atrium.
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
May 1993,
Journal of cardiac surgery,
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
July 2005,
Zhonghua wai ke za zhi [Chinese journal of surgery],
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
February 1993,
Kokyu to junkan. Respiration & circulation,
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
July 1999,
Kyobu geka. The Japanese journal of thoracic surgery,
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
August 2016,
Heart (British Cardiac Society),
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
December 2012,
The heart surgery forum,
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
November 2002,
Echocardiography (Mount Kisco, N.Y.),
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
September 1956,
A.M.A. archives of surgery,
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
June 2002,
Circulation,
H Hagihara, and
S Kitamura, and
K Kawachi, and
R Morita, and
S Taniguchi, and
M Fukutomi, and
T Kawata, and
J Hasegawa, and
Y Yoshida
April 2013,
European heart journal,
