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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Autor principal: Manuel J. Antunes
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Publicado: South African Heart Association 2017
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic rheumatics
prosthetic valve replacement
mitral valve repair
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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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