Why the study?
What are the long-term outcomes of cardiac surgery in patients with mitral stenosis and severe pulmonary hypertension?
What are the long-term outcomes of cardiac surgery in patients with mitral stenosis and severe pulmonary hypertension?
Cardiac surgery is feasible with acceptable mortality and provides long-term survival and functional benefits in patients with mitral stenosis and severe pulmonary hypertension, particularly in younger patients.
Answers are grounded in this paper and cite their sources.
May support surgery in selected younger patients; leaves open randomized trials to confirm benefit.
Patients referred to a tertiary care hospital in the United States with mitral stenosis and severe pulmonary hypertension often have other associated cardiac diseases and comorbid conditions. Cardiac surgery can be successfully performed with an acceptable mortality, and risk factors for poor perioperative outcome can be identified by preoperative clinical characteristics. Younger patients have the best long-term survival, and most survivors experienced long-term improvement in functional status.
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Vincens et al. (1995) studied this question.
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