Mitral valve repair in a developing country

Out of 454 patients who underwent mitral valve surgery, 210 (46.2%) had isolated mitral valve disease and the rest had mixed valvular disease. Repair was considered for 393 (86.6%) patients but was feasible in only 269 (59.3%) valves. Commissurotomy was performed in 177 (65.8%), leaflet plasty in 25(9.3%), chordal repair in 93(34.6%), papillotony 116(43.1%) and annuloplasty in 210 (78.0%) patients. The hospital mortality for the repair group was 1.49 per cent. There were 2(0.75%) late dealts. Twenty-seven (10.05%) patients underwent reoperation over 20 months, out of which four could be repaired again. Amongst the survivors, 95.5 per cent are in functional class I and II. The techniques of repairs undertaken have been described and its importance in the setting of a developing country has been highlighted.