Mitral valve repair in rheumatics: Is it still worthwhile?
Prosthetic valve replacement in young patients carries increased morbidity and mortality, even with recent types and models of prostheses. Fortunately, rheumatic mitral regurgitation in this young population group is amenable to repair, although the results are less favourable than those observed wi...
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South African Heart Association
2017
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oai:doaj.org-article:8d06cbfd4d3f4a0e9470c0f0b087dfcd2021-11-26T13:33:17ZMitral valve repair in rheumatics: Is it still worthwhile?10.24170/7-4-19351996-67412071-4602https://doaj.org/article/8d06cbfd4d3f4a0e9470c0f0b087dfcd2017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1935https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Prosthetic valve replacement in young patients carries increased morbidity and mortality, even with recent types and models of prostheses. Fortunately, rheumatic mitral regurgitation in this young population group is amenable to repair, although the results are less favourable than those observed with other types of mitral valve disease and in older populations. A better knowledge of the pathology and evolution of repair techniques has improved results. Hence mitral valve repair is still worthwhile, even in rheumatic pathology and, the percentage of valves repaired, increases with the experience and the will of the surgeon to preserve the valve. Mitral valve replacement can only be justified when good repair is not feasible. It is vital that the surgeon has adequate experience which can only be gained by exposure to enough patients with this condition. Most of these patients are in developing countries and hampered by socio-economic conditions – which means 1st World surgeons get limited required exposure.Manuel J. AntunesSouth African Heart Associationarticlerheumaticsprosthetic valve replacementmitral valve repairDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 7, Iss 4, Pp 258-263 (2017) |
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rheumatics prosthetic valve replacement mitral valve repair Diseases of the circulatory (Cardiovascular) system RC666-701 |
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rheumatics prosthetic valve replacement mitral valve repair Diseases of the circulatory (Cardiovascular) system RC666-701 Manuel J. Antunes Mitral valve repair in rheumatics: Is it still worthwhile? |
description |
Prosthetic valve replacement in young patients carries increased morbidity and mortality, even with recent types and models of prostheses. Fortunately, rheumatic mitral regurgitation in this young population group is amenable to repair, although the results are less favourable than those observed with other types of mitral valve disease and in older populations. A better knowledge of the pathology and evolution of repair techniques has improved results. Hence mitral valve repair is still worthwhile, even in rheumatic pathology and, the percentage of valves repaired, increases with the experience and the will of the surgeon to preserve the valve. Mitral valve replacement can only be justified when good repair is not feasible. It is vital that the surgeon has adequate experience which can only be gained by exposure to enough patients with this condition. Most of these patients are in developing countries and hampered by socio-economic conditions – which means 1st World surgeons get limited required exposure. |
format |
article |
author |
Manuel J. Antunes |
author_facet |
Manuel J. Antunes |
author_sort |
Manuel J. Antunes |
title |
Mitral valve repair in rheumatics: Is it still worthwhile? |
title_short |
Mitral valve repair in rheumatics: Is it still worthwhile? |
title_full |
Mitral valve repair in rheumatics: Is it still worthwhile? |
title_fullStr |
Mitral valve repair in rheumatics: Is it still worthwhile? |
title_full_unstemmed |
Mitral valve repair in rheumatics: Is it still worthwhile? |
title_sort |
mitral valve repair in rheumatics: is it still worthwhile? |
publisher |
South African Heart Association |
publishDate |
2017 |
url |
https://doaj.org/article/8d06cbfd4d3f4a0e9470c0f0b087dfcd |
work_keys_str_mv |
AT manueljantunes mitralvalverepairinrheumaticsisitstillworthwhile |
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1718409304160075776 |