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Abstract
In the early era of heart surgery, beginning in 1960, the approach to mitral valve disease was replacement. The key innovation in the treatment of mitral valve disease in the early 1980s was when the world –renowned French cardiac surgeon Carpentier introduced techniques of fixing a diseased mitral valve rather than replacing it (Martie, 2004).Surgical correction of mitral regurgitation is followed by marked improvement in cardiac symptoms and has traditionally been used for patients who developed severe symptoms during the course of medical follow up. However, this approach is 223 associated with a disappointingly high incidence of post-operative left ventricular dysfunction and late mortality. This observation in combination with the excellent result of valvular reconstruction has led recently to the suggestion of early surgical correction of MR (Ling et al., 1997).There are no generally accepted criteria for the optimal timing of mitral valve surgery in mitral valve regurgitation. Indications for the mitral valve regurgitation surgical treatment in Kaunas University of Medicine Heart Center (KUMHC) were outlined following ACC/AHA guidelines for the management of patients with valvular heart disease 1998, and ESC Working Group Recommendations on the Management of the Asymptomatic Patients with Valvular Heart Disease 2002.These guidelines are based upon extensive worldwide experience and the results of mitral regurgitation surgical treatment. However, the majority of the specialists note that indications for the surgical treatment of mitral valve regurgitation as well as the timing of the surgery should be based upon
the experience and the results in particular hospitals (Regina, 2005).Reconstruction of insufficient mitral valve in cases of mitral valve regurgitation is superior to valve replacement, with lower operative mortality, better preservation of the ventricular function, longer survival, fewer thrombo-embolic complications, and
reduced risk of the endocarditis (Nicholas et al., 1996) The Functional Status Of Patients: In our study, we found an improvement in NYHA grades early post-operatively as well as six months post-operatively.