Combined Mitral and Tricuspid Valve Repair in Rheumatic Valve Disease Fewer Reoperations With Prosthetic Ring Annuloplasty

作者: José M. Bernal , Alejandro Pontón , Begoña Diaz , Javier Llorca , Iván García

DOI: 10.1161/CIRCULATIONAHA.109.894873

关键词: Interquartile rangeCommissurotomyTRICUSPID VALVE REPAIRRegurgitation (circulation)CardiologyInternal medicineStenosisSurgeryMitral valveTricuspid stenosisTricuspid valveMedicine

摘要: Background— We examined predictors of early and very long-term outcome after combined mitral tricuspid valve repair for rheumatic disease. Methods Results— Between 1974 2002, 153 consecutive patients (mean age, 46.0±13.2 years) underwent Mitral disease was predominantly stenosis (82.3%); 100% had organic disease, with regurgitation (53.6%) or some degree (46.4%). included commissurotomy in 132 (86.3%) associated a flexible annuloplasty 108. Tricuspid 68 (44.4%) suture 20 (13.1%) 62 (42.5%). Thirty-day mortality 5.9%. Late 60.1%. The median follow-up 15.8 years (interquartile range, 6 to 19 years). Follow-up 97.9% complete. Age >65 the only predictor late mortality...

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