The comparison of the mid term results of Kay mitral annuloplasty in patients with mitral regurgitation due to Coronary ischemia versus Rheumatic valvular disease

*-**Rahmi ZEYBEK, *İhsan İŞKESEN, *Egemen TÜZÜN, **Mert Kestelli, **Tayfun ADANIR

* Celal Bayar Üniversitesi Tıp Fakültesi Göğüs Kalp Damar Cerrahisi Anabilim Dalı, Manisa
^**Atatürk Devlet Hastanesi Göğüs Kalp Damar Cerrahisi Kliniği, İzmir

The main purpose of this study was to determine whether the etiologic causes of mitral regurgitation affect the results of mitral repairing.

34 patients undergoing mitral valve reconstruction with Kay annuloplasty technique were studied. Fifteen were ischemic origin (Group A) and 19 rheumatic origin (Group B). All of the patients have third and fourth degree mitral regurgitation. In addition to Kay annuloplasty procedures aortocoronary bypass graft operations were performed in all of the patiens in group A and aortic valve replacement in 5 patients, Kay tricuspid annuloplasty in 7 patients and open mitral commissurotomy in 8 patients in group B.

There was no reoperation in group A but mitral replacement was required in 3 patients in group B. Some degenerative changes were found clearly much more common in group B than group A.

We concluded that in annuloplasty cases mitral regurgitation and reoperation requirement are more common in rheumatic valve disease than ischemic mitral regurgitation because of continuing degeneration process of the primary disease.

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