PMID: 8952732Jul 1, 1996Paper

Mitral valve replacement in Réunion Island. Short- and medium-term results

Annales de cardiologie et d'angéiologie
A el Issa

Abstract

Mitral valve surgery represents 34.6% of all open heart surgery in our unit. The aim of this study is to assess the early and intermediate term results in a consecutive series of 81 mitral valve replacements (mechanical: 67, bioprosthesis: 14) performed between September 1991 and December 1993. The mean age was 45.7 +/- 15 years (male 26, female 55). Twenty five patients (30.9%) were classified as functional class II of the New York Heart Association classification (NYHA) and 56 (89.1%) as class III or IV. Eight were operated in an emergency. Acute rheumatic fever (49.3%) and bioprosthetic dysfunction were the two main etiologies. Thirty patients (37%) had a history of previous cardiac surgery. Hospital mortality was 13.8% (11 patients). Risk factors associated with high operative mortality were: age, emergency, previous cardiac surgery, atrial fibrillation and tricuspid annuloplasty. All survivors were contacted. Mean follow-up was 30.8 +/- 9 months (range: 3.1-46.4). Five patients had died by the last date of follow-up. Actuarial survival at 1 and 4 years was 86% and 77%, respectively. Late events were mainly 9 episodes of thrombosis, 3 cases of thrombo-embolism and 1 peri-prosthetic leak; five patients were reoperated. The l...Continue Reading

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

Kyobu geka. The Japanese journal of thoracic surgery
Y MisawaM Kato
Asian Cardiovascular & Thoracic Annals
Neville A G SolomonKenneth J Graham
Archivos del Instituto de Cardiología de México
P Rosillo IzquierdoA Alarcón
© 2021 Meta ULC. All rights reserved