MITRAL VALVE REPAIR IN PATIENTS WITH PREDOMINANT MITRAL REGURGITATION

Dr Ninad Kotkar, Dr Balaji Aironi

Abstract


Valve repair needs proper preoperative diagnosis, subtle patient selection, availability of transesophageal echocardiography, adequate surgical experience and proper rigorous follow up. In rheumatic disease, it poses special problems. We present our experience of operating upon predominant mitral regurgitation lesions with the help of repairing the valve. In young patients and pregnant females, it is an added boon to do repair in view of avoiding problems related to anticoagulation in mechanical prosthetic valve and degeneration in bioprosthetic valve. It also helps to preserve geometry of LV and decreases LV dysfunction as seen in valve replacement.


Keywords


Valve repair, cardiography, rheumatic disease,anticoagulation

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References


Rheumatic fever and rheumatic heart disease. World Health Organ Tech Rep Ser 2004;923:1-122.

Kim JB, Kim HJ, Moon DH, et. Al. Long term outcomes after surgery for rheumatic mitral valve disease : valve repair versus mechanical valve replacement. Eur J cardiotorac Surg 2010;37:1039-46.

DiBardino DJ, ELBardissi AW, McClure RS, et. Al. Four decades of experience with mitral valve repair : analysis of differential indications, technical evolution, and long term outcome. J Thorac Cardiovasc Surg 2010;139:76-83, discussion 83-4.

Severino ES, Petrucci O, Vilarinho KA, et. al. Late outcomes of mitral repair in rheumatic patients. Rev Bras Cir Cardiovasc 2011;26:559-64.

Kim GS, Lee CH, Kim JB, et. al. Echocardiographic evaluation of mitral durability following valve repair in rheumatic mitral valve disease : impact of maze procedure. J Thorac Cardiovasc Surg 2014;147:247-53.

Akins CW, Hilgenberg AD, Buckley MJ, Vlahakes GJ, Torchiana DF, Daggett WM, et al. Mitral valve reconstruction versus replacement for degenerative or ischemic mitral regurgitation. Ann Thorac Surg 1994;58:668-76.

Hendren WG, Morris AS, Rosenkranz ER, et al. mitral valve repair for bacterial endocarditis. J Thorac Cardiovasc Surg 1992;103:124-9.


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