MVP Surgery

Posted By Carol on June 06, 1999 at 11:35:30
I am a 56 year old female with severe bileaflet MVP with severe mitral regurgitation, normal left ventricular function, left atrium is mildly enlarged.  My cardiologist has recommended that I have surgery now while the only symptom is fatigue, rather than wait.  I just had a cardiac catherterization and I appear to be an excellent candidate for repair rather than replacement.  (Would a TEE need to be done as well?)
To optimize my chance of repair I will need to find an "experienced" surgeon in my area or make the case to the insurance company that I need to have this done by Dr. Cosgrove in Cleveland.  Experience can be quantified and compared and therefore I would like the following statistics, and any others you feel relevant.
How many MVP surgeries (for regurgitation, not stenosis) did Dr. Cosgrove perform in 1998?
How many of those were repair rather than replacement?
How many of his anticipated repairs have typically resulted in replacement instead?
What percentage of repairs typically needs to be redone in a 1-3 year period?
What would you consider a minimum annual number of MVP repairs to constitute adequate surgical experience by a respected cardio-thoracic surgeon in a university medical center setting?
What follow-up care is done by the surgeon after discharge from the hospital?

Thank you,
Carol










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