Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa

Background: Mitral valve repair is probably the procedure of choice for the surgical treatment of degenerative mitral insufficiency. Aim: To evaluate the late results of mitral valve repair in degenerative mitral insufficiency. Patients and method: The records of 88 patients who underwent mitral val...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Zalaquett S,Ricardo, Camplá C,Cristóbal, Córdova A,Samuel, Braun J,Sandra, Chamorro S,Gastón, Irarrázaval Ll,Manuel, Morán V,Sergio, Becker R,Pedro, Godoy J,Iván, Yáñez D,Fernando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Mitral valve insufficiency
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001200001
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872003001200001
record_format	dspace
spelling	oai:scielo:S0034-988720030012000012004-04-16Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativaZalaquett S,RicardoCamplá C,CristóbalCórdova A,SamuelBraun J,SandraChamorro S,GastónIrarrázaval Ll,ManuelMorán V,SergioBecker R,PedroGodoy J,IvánYáñez D,Fernando Mitral valve insufficiency Background: Mitral valve repair is probably the procedure of choice for the surgical treatment of degenerative mitral insufficiency. Aim: To evaluate the late results of mitral valve repair in degenerative mitral insufficiency. Patients and method: The records of 88 patients who underwent mitral valve repair for degenerative mitral insufficiency from December 1991 through June 2002 were reviewed. Mean age was 59.9 years (range 22 to 82). At least moderate mitral insufficiency was present in every patient. Mean left atrial diameter was 55 mm and mean end diastolic and end systolic left ventricular diameters were 61 and 37 mm respectively. Results: The most common underlying lesion was ruptured chordae tendineae (66%) and posterior leaflet prolapse (68%). The surgical procedure most frecuently performed was quadrilateral resection of the posterior leaflet (68%). A Carpentier-Edwards ring was placed in 97% of patients. An associated procedure was performed in 34%. Operative mortality was 2.3%. A complete follow up was obtained in 93% of cases with a mean of 54±36 months. Overall survival rate was 98% at one year, 88% at 5 and 82% at 10 years. Free of cardiac death rates were 94% at 5 and 89% at 10 years. Only 2 patients were reoperated during follow up, resulting in a 98% reoperation free rate follow up. Functional class improved in all patients at the end of follow up. Late echocardiographic evaluation showed absent or minimal mitral regurgitation in 83% and mild mitral regurgitation in 17%. Conclusion: Good late results have been obtained with mitral valve repair, avoiding the inconveniencies of prosthetic replacement. Therefore, mitral valve repair should be the procedure of choice to treat degenerative mitral insufficiency (Rev Méd Chile 2003; 131: 1355-64).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.12 20032003-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001200001es10.4067/S0034-98872003001200001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Mitral valve insufficiency
spellingShingle	Mitral valve insufficiency Zalaquett S,Ricardo Camplá C,Cristóbal Córdova A,Samuel Braun J,Sandra Chamorro S,Gastón Irarrázaval Ll,Manuel Morán V,Sergio Becker R,Pedro Godoy J,Iván Yáñez D,Fernando Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
description	Background: Mitral valve repair is probably the procedure of choice for the surgical treatment of degenerative mitral insufficiency. Aim: To evaluate the late results of mitral valve repair in degenerative mitral insufficiency. Patients and method: The records of 88 patients who underwent mitral valve repair for degenerative mitral insufficiency from December 1991 through June 2002 were reviewed. Mean age was 59.9 years (range 22 to 82). At least moderate mitral insufficiency was present in every patient. Mean left atrial diameter was 55 mm and mean end diastolic and end systolic left ventricular diameters were 61 and 37 mm respectively. Results: The most common underlying lesion was ruptured chordae tendineae (66%) and posterior leaflet prolapse (68%). The surgical procedure most frecuently performed was quadrilateral resection of the posterior leaflet (68%). A Carpentier-Edwards ring was placed in 97% of patients. An associated procedure was performed in 34%. Operative mortality was 2.3%. A complete follow up was obtained in 93% of cases with a mean of 54±36 months. Overall survival rate was 98% at one year, 88% at 5 and 82% at 10 years. Free of cardiac death rates were 94% at 5 and 89% at 10 years. Only 2 patients were reoperated during follow up, resulting in a 98% reoperation free rate follow up. Functional class improved in all patients at the end of follow up. Late echocardiographic evaluation showed absent or minimal mitral regurgitation in 83% and mild mitral regurgitation in 17%. Conclusion: Good late results have been obtained with mitral valve repair, avoiding the inconveniencies of prosthetic replacement. Therefore, mitral valve repair should be the procedure of choice to treat degenerative mitral insufficiency (Rev Méd Chile 2003; 131: 1355-64).
author	Zalaquett S,Ricardo Camplá C,Cristóbal Córdova A,Samuel Braun J,Sandra Chamorro S,Gastón Irarrázaval Ll,Manuel Morán V,Sergio Becker R,Pedro Godoy J,Iván Yáñez D,Fernando
author_facet	Zalaquett S,Ricardo Camplá C,Cristóbal Córdova A,Samuel Braun J,Sandra Chamorro S,Gastón Irarrázaval Ll,Manuel Morán V,Sergio Becker R,Pedro Godoy J,Iván Yáñez D,Fernando
author_sort	Zalaquett S,Ricardo
title	Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
title_short	Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
title_full	Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
title_fullStr	Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
title_full_unstemmed	Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
title_sort	resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001200001
work_keys_str_mv	AT zalaquettsricardo resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT camplaccristobal resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT cordovaasamuel resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT braunjsandra resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT chamorrosgaston resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT irarrazavalllmanuel resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT moranvsergio resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT beckerrpedro resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT godoyjivan resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa AT yanezdfernando resultadosalejadosdelacirugiareparadoradelainsuficienciamitraldegenerativa
_version_	1718436124457697280

Resultados alejados de la cirugía reparadora de la insuficiencia mitral degenerativa

Ejemplares similares