Evidence map›Paper›PMID 31041727›Full record

ArticleGeneral thoracic and cardiovascular surgery2019

Mid-term outcomes of simultaneous mitral valve repair in patients with miral regurgitation and concomitant annulo-aortic ectasia.

Yojiro Koda, Tatsuya Kawamoto, Koki Yokawa, Soichiro Henmi, Hidekazu Nakai, Katsuhiro Yamanaka, Takeshi Inoue, Hiroshi Tanaka, Yutaka Okita

Abstract read
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In one paragraph

Article in General thoracic and cardiovascular surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 93% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Clinical results of combined aortic valve-sparing root replacement and mitral valve repair.Interdisciplinary cardiovascular and thoracic surgery · 2025
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Yojiro KodaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Tatsuya KawamotoDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Koki YokawaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Soichiro HenmiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Hidekazu NakaiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Katsuhiro YamanakaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Takeshi InoueDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Hiroshi TanakaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan.
Yutaka OkitaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, 7-5-2 Tyuoku Kusunokityo, Kobe, Hyogo, 650-0017, Japan. yutakaokita@gmail.com.
Kobe University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated the mid-term outcomes of simultaneous mitral valve repair in patients with mitral regurgitation (MR) and concomitant annulo-aortic ectasia.

methodsThe study included 26 patients with MR and annulo-aortic ectasia [mean age 46.0 ± 19.9 (10-86) years] who underwent simultaneous mitral valve repair between January 2007 and March 2018. Of these 26 patients, 11 (42.3%) were diagnosed with Marfan syndrome and 10 (38.5%) with Barlow's disease. All patients underwent complete ring annuloplasty; a semi-rigid ring was used in 14 (53.8%) and a semi-flexible ring (anterior-flexible) in 12 patients (46.2%). All patients underwent valve-sparing root replacement using the reimplantation technique.

resultsThe overall 3-year survival rate was 95.7 ± 4.3%. The 3-year freedom from > moderate MR rate was 94.7 ± 5.1%, and the 3-year freedom from > moderate aortic regurgitation (AR) rate was 86.7 ± 7.3%. The 3-year freedom from reoperation rate was 100%. The 3-year freedom from > moderate MR rate was 100% in the semi-rigid ring group and 85.7 ± 13.2% in the semi-flexible ring group (log-rank test, p = 0.5371). The 3-year freedom from > moderate AR rate was 100% in the semi-rigid ring group and 72.9 ± 16.5% in the semi-flexible ring group (log-rank test, p = 0.0815).

conclusionsSimultaneous mitral valve repair in patients with MR and concomitant annulo-aortic ectasia showed favorable mid-term outcomes.

Indexed as

AdolescentAdultAgedAged, 80 and overAorta, ThoracicAortic Valve InsufficiencyBlood Vessel Prosthesis ImplantationCardiac Surgical ProceduresChildDilatation, PathologicFemaleHeart Valve Prosthesis ImplantationHumansJapanMaleMiddle AgedAnnulo-aortic ectasiaAortic valve repairMitral valve repairValve-sparing root replacement

Identifiers

PMID31041727
OpenAlexW2942780166

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.