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January 1, 1988European Journal of Cardio-Thoracic Surgery

Long-term results of conservative repair of rheumatic aortic valve insufficiency

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Why the study?

Does conservative surgical repair provide acceptable long-term outcomes in patients with rheumatic aortic valvular disease and predominant mitral lesions?

Population

50 patients with rheumatic aortic valvular disease associated with a predominant mitral lesion, average age…

Design

Case_series

Follow-up

mean 7.78 years (maximum 12.58 years)

Authors

CDCarmen DuránJAJuli AlonsoLGLuis Gaite

Discussion

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Overview

May support conservative repair in select rheumatic cases; leaves open confirmation in larger prospective cohorts.

Structured PICO

Does conservative surgical repair provide acceptable long-term outcomes in patients with rheumatic aortic valvular disease and predominant mitral lesions?

P
Population
50 patients with rheumatic aortic valvular disease (26 with aortic regurgitation, 24 with mixed lesion) associated with a predominant mitral lesion, average age 39.5 years, 39 female and 11 male.
I
Intervention
Conservative surgical repair of the aortic valve (techniques included commissurotomy, annuloplasty, cusp free edge unfolding, supra-aortic crest enhancement, and cusp extension with pericardium).
O
Outcome
Actuarial freedom from reoperation and overall actuarial survival at 13 yearshard clinical

Conservative surgical repair of moderate rheumatic aortic valve disease accompanying a predominant mitral lesion yields acceptable long-term survival and freedom from reoperation.

Cite This Study

Durán et al. (1988) studied this question.

synapsesocial.com/papers/6a8e75f8561007484528d7achttps://doi.org/10.1016/1010-7940(88)90075-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-Term (29 Years) Results of Reconstructive Surgery in Rheumatic Mitral Valve Insufficiency2001 · 21 citations
  2. 2Long-Term (29 Years) Results of Reconstructive Surgery in Rheumatic Mitral Valve Insufficiency2001 · 236 citations
  3. 3Aortic Valve Repair: Initial Experience from Central Chest Hospital1996
  4. 4Aortic Valve Reconstruction: Midterm Results from Central Chest Hospital2000 · 4 citations
  5. 5Aortic Valve Repair: Techniques and Results1994 · 3 citations