HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kaan Kirali Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kirali, K. Articles by Yakut, C. Search for Related Content PubMed PubMed Citation Articles by Kirali, K. Articles by Yakut, C. Related Collections Congenital - acyanotic

Mitral Clefts and Interatrial Septum Defects: 15-Year Results

Kaan Kirali, MD, Denyan Mansurolu, MD, Yücel Özen, MD, Nilgün Ulusoy Bozbua, MD, Altu Tuncer, MD, Mehmet Erdem Toker, MD, Mesut imanolu, MD, Cevat Yakut, MD

Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey

For reprint information contact: Kaan Kirali, MD Tel: 90 216 326 6969 Fax: 90 216 339 0441 email: imkkirali{at}yamoo.com Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Kadikoy 81020, Istanbul, Turkey.

Between 1985 and 2002, 60 patients (58% female) with a mean age of 20.3 ± 12.1 years (range, 2–55 years) were treated for anterior mitral leaflet cleft. There was a primum atrial septal defect in 52 patients (87%) and a secundum type in 8 (13%). Concomitant cardiac defects were patent foramen ovale in 6 patients, cleft tricuspid valve in 3, ventricular septal defect in 2, cor triatriatum in 1, and persistent left superior vena cava in 1. Mean grade (1–4) of mitral insufficiency was 2.28 ± 0.74. Atrial septal defects were closed with a pericardial patch in 45 patients, with a prosthetic patch in 11, and primarily in 4. Mitral leaflet clefts were repaired using interrupted sutures. There was no early or late mortality. Two patients (3%) needed a permanent pacemaker. Postoperatively, severe ( grade 3) mitral insufficiency developed in 2 patients; valve replacement was performed in one, cleft recurrence and leakage from the patch were treated in the other. Freedom from reoperation was 92.2% ± 5.6% at 15 years. Surgical intervention can be performed for congenital anterior mitral leaflet cleft and interatrial septal defect with good results in both pediatric and adult age groups.