Key result
Mitral and aortic valvuloplasty for acquired valve disease resulted in 88% and 81.7% of patients, respectively, remaining free from surgery-related complications after 17 years.
Why the study?
Does reconstructive surgery provide favorable long-term outcomes in patients with acquired mitral and aortic valve disease?
Observational (n=76)
Does reconstructive surgery provide favorable long-term outcomes in patients with acquired mitral and aortic valve disease?
Answers are grounded in this paper and cite their sources.
Reconstructive surgery for acquired mitral and aortic valve disease demonstrates excellent long-term durability with low rates of complications and reoperation at 17 years.
To evaluate the long-term results of reconstructive surgery for mitral and aortic valve diseases, 58 patients treated with mitral valvuloplasty (MVP) and 18 patients with aortic valvuloplasty (AVP) were considered. In the MVP group simple annuloplasty was performed in 16 cases, tape annuloplasty in 39 cases, and mitral valve extension with homopericardium in 3 cases. In the AVP group a combination of slicing, commissurotomy, and commissuroplasty was performed in 15 cases and aortic valve extension in three. There was one operative death in the AVP group, and one late death in the MVP group. The percentage of patients who had no complications related to reconstructive surgery after 17 years was 88% in the MVP group, and 81.7% in the AVP group. Only three patients in the MVP group, and one in the AVP group required reoperation after the reconstruction. Thus, reconstructive surgery should be utilized, whenever possible, in the treatment of valvular disease, even of the aortic valve.
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Amano et al. (1994) conducted an observational in Acquired mitral and aortic valve diseases (n=76). Mitral valvuloplasty vs. Aortic valvuloplasty was evaluated on No complications related to reconstructive surgery. Mitral and aortic valvuloplasty for acquired valve disease resulted in 88% and 81.7% of patients, respectively, remaining free from surgery-related complications after 17 years.
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