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Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
- Source :
- Revista médica de Chile v.131 n.12 2003, SciELO Chile, CONICYT Chile, instacron:CONICYT
- Publication Year :
- 2003
- Publisher :
- Sociedad Médica de Santiago, 2003.
-
Abstract
- Background: Mitral valve repair is probably the procedure of choice for the surgical treatment of degenerative mitral insufficiency. Aim: To evaluate the late results of mitral valve repair in degenerative mitral insufficiency. Patients and method: The records of 88 patients who underwent mitral valve repair for degenerative mitral insufficiency from December 1991 through June 2002 were reviewed. Mean age was 59.9 years (range 22 to 82). At least moderate mitral insufficiency was present in every patient. Mean left atrial diameter was 55 mm and mean end diastolic and end systolic left ventricular diameters were 61 and 37 mm respectively. Results: The most common underlying lesion was ruptured chordae tendineae (66%) and posterior leaflet prolapse (68%). The surgical procedure most frecuently performed was quadrilateral resection of the posterior leaflet (68%). A Carpentier-Edwards ring was placed in 97% of patients. An associated procedure was performed in 34%. Operative mortality was 2.3%. A complete follow up was obtained in 93% of cases with a mean of 54±36 months. Overall survival rate was 98% at one year, 88% at 5 and 82% at 10 years. Free of cardiac death rates were 94% at 5 and 89% at 10 years. Only 2 patients were reoperated during follow up, resulting in a 98% reoperation free rate follow up. Functional class improved in all patients at the end of follow up. Late echocardiographic evaluation showed absent or minimal mitral regurgitation in 83% and mild mitral regurgitation in 17%. Conclusion: Good late results have been obtained with mitral valve repair, avoiding the inconveniencies of prosthetic replacement. Therefore, mitral valve repair should be the procedure of choice to treat degenerative mitral insufficiency (Rev Med Chile 2003; 131: 1355-64). (Key Words: Mitral valve insufficiency)
- Subjects :
- medicine.medical_specialty
Mitral valve repair
Mitral regurgitation
RUPTURED CHORDAE TENDINEAE
business.industry
Mortality rate
medicine.medical_treatment
Operative mortality
Diastole
General Medicine
Surgery
medicine.anatomical_structure
Left atrial
Internal medicine
Mitral valve
medicine
Cardiology
cardiovascular system
cardiovascular diseases
business
Mitral valve insufficiency
Subjects
Details
- Language :
- Spanish; Castilian
- Database :
- OpenAIRE
- Journal :
- Revista médica de Chile v.131 n.12 2003, SciELO Chile, CONICYT Chile, instacron:CONICYT
- Accession number :
- edsair.doi.dedup.....29261fa429d2a0021399a56ed37c0b3e