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A comparison of repair and replacement for mitral stenosis with partially calcified valve
- Source :
- The Journal of Thoracic and Cardiovascular Surgery. 100:161-166
- Publication Year :
- 1990
- Publisher :
- Elsevier BV, 1990.
-
Abstract
- From January 1978 to December 1987 we operated on 135 patients with calcified mitral stenosis. In 60 patients a conservative operation was performed (group I). Nine patients required mitral annuloplasty associated with the commissurotomy. The other 75 patients underwent mitral valve replacement (group II). In 37 patients a mechanical prosthesis was used and in 38 a biologic one. The patients given mitral valve replacement had a more heavily calcified valve than those undergoing a conservative procedure. Twenty-one patients (12 from group I and 13 from group II) required associated tricuspid annuloplasty. The mean follow-up time was 69.1 months (1 months to 10 years). There were no significant differences between the two groups in terms of operative death (0% and 4%, respectively), postoperative functional class, actuarial survival rate at 10 years (84% and 96%, respectively), and probability of freedom from thromboemboli at 10 years (98% and 96%, respectively). However, the probability of freedom from reoperation at 10 years significantly favored the conservative surgery group (84% and 69%, respectively, p less than 0.01). Finally, the probability of freedom from complications at 10 years was also significantly higher in the conservative surgery group (82% and 64%, respectively, p less than 0.005). Because of these results we believe that conservative surgery is, at present, a better alternative than mitral valve replacement for patients with partially calcified mitral stenosis.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Group ii
Prosthesis
Postoperative Complications
Actuarial Analysis
Thromboembolism
Mitral valve
Internal medicine
medicine
Humans
Mitral Valve Stenosis
Mitral Annuloplasty
Bioprosthesis
business.industry
Mitral valve replacement
Calcinosis
Middle Aged
medicine.disease
Surgery
Survival Rate
Stenosis
medicine.anatomical_structure
Heart Valve Prosthesis
Operative death
Cardiology
Mitral Valve
Female
Cardiology and Cardiovascular Medicine
Commissurotomy
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00225223
- Volume :
- 100
- Database :
- OpenAIRE
- Journal :
- The Journal of Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....0fea7049d36790ec185b3b2ff3d74797