Article Type
Original Study
Abstract
A total of 133 consecutive patients with chronic rheumatic mitral incompetence were operated upon with mitral valve replacement (MVR) in Cardie-Thoracic Surgery Department at Mansoura University Hospitals. Seventy-seven patients (57.9%) were females and 56 (42.1%) were males, with age ranging from 16 to 41 years (mean 28.6 ± 5.3 years). Patients were studed preoperatively, early postoperatively (within three months), and at the most recent follow-up (mean of 40.3 months). Seventy-one patients (53.4%) underwent conventional MVR (group I), and 62 (46.6%) underwent MVR with chorda! preservation (group II). Preoperatively, there were no difference among both groups in age, gender, NYHA (New York Heart Association) functional class, ejection fraction (EF), fractional shortening (FS), left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVEDD), and left atrial diameter (LAD). There were four perioperative deaths (5.6%) and six late deaths among the 71 patients with conventional MVR, while in chordal preservation patients there were two perioperative deaths and three late deaths. At 5 years, the cumulative proportion survival for group I was 83.5% and for group II was 91.5% (P = 0.03 and Log Rank = 4.31). All preoperative parameters showed better improvement as measured early and at mid-term postoperatively in group II with statistically significant differences than in group I.
Recommended Citation
Kadry Abdalla, Ahmed; Mowafey, Abed; Abul-Ela, Shaaban; and El-Saeid, Mohamed
(2001)
"VALVE REPLACEMENT WITH OR WITHOUT CHORDAL PRESERVATION IN RHEUMATIC MITRAL INCOMPETENCE: MID-TERM FOLLOW-UP RESULTS,"
Mansoura Medical Journal: Vol. 30
:
Iss.
1
, Article 7.
Available at:
https://doi.org/10.21608/mjmu.2001.126997
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
