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September 18, 2001CirculationOpen Access

Long-Term (29 Years) Results of Reconstructive Surgery in Rheumatic Mitral Valve Insufficiency

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Why the study?

What are the long-term survival and reoperation rates following reconstructive surgery for rheumatic mitral valve insufficiency?

Population

951 patients with rheumatic mitral valve insufficiency, mean age 25.8 years, 63% in sinus rhythm.

Design

Cohort

Follow-up

mean 12 years (maximum 29 years)

Authors

SCSylvain ChauvaudHôpital EuropéenJFJean‐François FuzellierCentre Hospitalier Universitaire de ReimsABAlain BerrebiUniversity of Calgary

Discussion

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Member takes

Overview

Supports favorable survival after rheumatic mitral repair; extends observational data but leaves reoperation durability open for prospective trials.

Structured PICO

What are the long-term survival and reoperation rates following reconstructive surgery for rheumatic mitral valve insufficiency?

P
Population
951 patients with rheumatic mitral valve insufficiency (aortic valve diseases excluded), mean age 25.8 years, 63% in sinus rhythm.
I
Intervention
Reconstructive surgery using Carpentier techniques (prosthetic ring in 95%, shortening of chords, leaflet enlargement with autologous pericardium, and commissurotomy).
O
Outcome
Actuarial survival and freedom from reoperation at 10 and 20 yearshard clinical

Conservative reconstructive surgery for rheumatic mitral valve insufficiency offers excellent long-term survival and low thromboembolic risk, though reoperation rates increase over time due to progressive fibrosis.

Cite This Study

Chauvaud et al. (2001) studied this question.

synapsesocial.com/papers/6a7792652e130d02afeca6b6https://doi.org/10.1161/circ.104.suppl_1.i-12
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Valve Repair in Rheumatic Mitral Disease: An Unsolved Problem1994 · 95 citations
  2. 2A feasibility study of valve repair in rheumatic mitral regurgitation1991 · 20 citations
  3. 3Repair of the mitral valve because of pure rheumatic mitral valvar incompetence in the young1998 · 17 citations
  4. 4Valve Repair Versus Replacement For Mitral Insufficiency: When Is A Mechanical Valve Still Indicated?1998 · 79 citations