Characteristics and outcomes of mitral valve repair surgery: a single-center experience
Background The authors performed this retrospective study to report the experience of mitral valve repair (MVR) repair procedures, including the commonly used operative techniques and recorded outcomes. Patients and methods A total of 100 patients (76 males) who underwent MVR were enrolled in this s...
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| Format: | Article |
| Language: | English |
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General Organization of Teaching Hospitals and Institutes
2020-01-01
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| Series: | Journal of Medicine in Scientific Research |
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| Online Access: | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=1;spage=58;epage=62;aulast=El-Hafez |
| _version_ | 1797229987912220672 |
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| author | Mohamed A El-Hafez Fouly Ashraf Zahra |
| author_facet | Mohamed A El-Hafez Fouly Ashraf Zahra |
| author_sort | Mohamed A El-Hafez Fouly |
| collection | DOAJ |
| description | Background
The authors performed this retrospective study to report the experience of mitral valve repair (MVR) repair procedures, including the commonly used operative techniques and recorded outcomes.
Patients and methods
A total of 100 patients (76 males) who underwent MVR were enrolled in this study. Diagnosis was mainly based on detailed history taking along with an echocardiographic assessment. Data on preoperative, intraoperative, and postoperative variables were collected retrospectively from the database and patients' records. Missing data for particular outcomes were removed from the analysis.
Results
The four observed pathologies of the mitral valve [ischemic (67%), myxomatous (18%), postinfective (11%), and rupture chordae (4%)] were repaired with annuloplasty ring, leaflet dissection and annuloplasty ring, pericardial patch closure ± ring annuloplasty, and artificial chordae replacement, respectively. The preoperative and postoperative stay durations were 6.21 ± 6.318 and 12.19 ± 11.54 days, respectively. Only two deaths were recorded (one within the first 30 days of the procedure and one after). Operative bleeding occurred in four patients (of 98; 4.1%), and four patients (of 98; 4.1%) developed arrhythmia. Ten (of 98; 10.2%) patients were re-admitted into the ICU. Twelve (of 95; 12.6%) patients developed infection.
At discharge, no cases of mitral regurgitation were observed.
Except for preoperative and postoperative stay durations (which were significantly longer in the ischemic group), other outcomes showed no significant difference between the four used techniques.
Conclusion
The single-center experience highlights the safety of MVR procedure, but indicates that special caution should be warranted to reduce the incidence of post-operative infections. Except for longer preoperative and postoperative stay durations in the ischemic group, no outcome differences were observed between the used techniques. However, large, multicenter, randomized trials with longer follow-up periods are required to validate these findings. |
| first_indexed | 2024-04-24T15:21:20Z |
| format | Article |
| id | doaj.art-6ceff7a0298d4080af9b2f67d47e129b |
| institution | Directory Open Access Journal |
| issn | 2537-091X 2537-0928 |
| language | English |
| last_indexed | 2024-04-24T15:21:20Z |
| publishDate | 2020-01-01 |
| publisher | General Organization of Teaching Hospitals and Institutes |
| record_format | Article |
| series | Journal of Medicine in Scientific Research |
| spelling | doaj.art-6ceff7a0298d4080af9b2f67d47e129b2024-04-02T07:44:48ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282020-01-0131586210.4103/JMISR.JMISR_76_19Characteristics and outcomes of mitral valve repair surgery: a single-center experienceMohamed A El-Hafez FoulyAshraf ZahraBackground The authors performed this retrospective study to report the experience of mitral valve repair (MVR) repair procedures, including the commonly used operative techniques and recorded outcomes. Patients and methods A total of 100 patients (76 males) who underwent MVR were enrolled in this study. Diagnosis was mainly based on detailed history taking along with an echocardiographic assessment. Data on preoperative, intraoperative, and postoperative variables were collected retrospectively from the database and patients' records. Missing data for particular outcomes were removed from the analysis. Results The four observed pathologies of the mitral valve [ischemic (67%), myxomatous (18%), postinfective (11%), and rupture chordae (4%)] were repaired with annuloplasty ring, leaflet dissection and annuloplasty ring, pericardial patch closure ± ring annuloplasty, and artificial chordae replacement, respectively. The preoperative and postoperative stay durations were 6.21 ± 6.318 and 12.19 ± 11.54 days, respectively. Only two deaths were recorded (one within the first 30 days of the procedure and one after). Operative bleeding occurred in four patients (of 98; 4.1%), and four patients (of 98; 4.1%) developed arrhythmia. Ten (of 98; 10.2%) patients were re-admitted into the ICU. Twelve (of 95; 12.6%) patients developed infection. At discharge, no cases of mitral regurgitation were observed. Except for preoperative and postoperative stay durations (which were significantly longer in the ischemic group), other outcomes showed no significant difference between the four used techniques. Conclusion The single-center experience highlights the safety of MVR procedure, but indicates that special caution should be warranted to reduce the incidence of post-operative infections. Except for longer preoperative and postoperative stay durations in the ischemic group, no outcome differences were observed between the used techniques. However, large, multicenter, randomized trials with longer follow-up periods are required to validate these findings.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=1;spage=58;epage=62;aulast=El-Hafezcoronary artery bypass graftmitral regurgitationmitral valve repairvalvular heart disease |
| spellingShingle | Mohamed A El-Hafez Fouly Ashraf Zahra Characteristics and outcomes of mitral valve repair surgery: a single-center experience Journal of Medicine in Scientific Research coronary artery bypass graft mitral regurgitation mitral valve repair valvular heart disease |
| title | Characteristics and outcomes of mitral valve repair surgery: a single-center experience |
| title_full | Characteristics and outcomes of mitral valve repair surgery: a single-center experience |
| title_fullStr | Characteristics and outcomes of mitral valve repair surgery: a single-center experience |
| title_full_unstemmed | Characteristics and outcomes of mitral valve repair surgery: a single-center experience |
| title_short | Characteristics and outcomes of mitral valve repair surgery: a single-center experience |
| title_sort | characteristics and outcomes of mitral valve repair surgery a single center experience |
| topic | coronary artery bypass graft mitral regurgitation mitral valve repair valvular heart disease |
| url | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=1;spage=58;epage=62;aulast=El-Hafez |
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