Background: Mitral valve repair (MVr) is an effective treatment for degenerative mitral regurgitation (DMR).And the outcomes and repair rates for posterior leaflet prolapse (PLP), anterior leaflet prolapse (ALP), and bileaflet prolapse (BLP) vary. This study aimed to compare the outcomes of mitral valve
repair for patients with PLP, ALP, and BLP. Methods: From 2010
to 2019, 1192 patients with degenerative mitral valve regurgitation underwent
surgery at our hospital. And 1069 patients were identified. The average age of
all patients was (54.74 12.17) years old for all patients. 273 patients
(25.5%) had ALP, 148 patients (13.8%) had BLP, and 648 patients (60.6%) had
PLP. All patients were followed up for an average duration of 5.1 years. We
compared the outcomes of patients with ALP, PLP, and BLP. Results:
Patients with ALP were the youngest of the 3 groups and had the highest
prevalence of atrial fibrillation. Patients with PLP had the highest prevalence
of hypertension, whereas patients with BLP and ALP had larger left ventricular
end-diastolic and left ventricular end-systolic diameters. ALP and BLP repairs
had a longer cardiopulmonary bypass and aortic cross-clamp time.10 patients dead
in-hospital, 5 patients had PLP, 3 had ALP, and 2 had BLP. The 10-year survival
cumulative incidences of reoperation among ALP, BLP, and PLP repairs were not
significantly different. ALP repair still had higher cumulative incidences of
recurrent mitral regurgitation (MR) compared to PLP. Conclusions: The rates of long-term
survival and freedom from reoperation were not significantly different among
patients with ALP, BLP, and PLP. ALP repair has higher cumulative incidences of
recurrent MR compared to PLP.
