Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
LONG-TERM OUTCOME OF MITRAL-VALVE REPAIR OF DYSTROPHIC MITRAL REGURGITATION
Autore:
CHATEL C; EKER A; PERINETTI M; DEGEVIGNEY G; MONTAGNA P; BARRAUD C; JEGADEN O; MIKAELOFF P;
Indirizzi:
HOP CARDIOVASC & PNEUMOL LOUIS PRADEL,SERV CHIRURG THORAC & CARDIOVASC,BP LYON MONCHAT F-69394 LYON 03 FRANCE HOP CARDIOVASC & PNEUMOL LOUIS PRADEL,LAB ECHOCARDIOG F-69394 LYON 03FRANCE HOP CARDIOVASC & PNEUMOL LOUIS PRADEL,SERV CARDIOL F-69394 LYON 03 FRANCE
Titolo Testata:
Archives des maladies du coeur et des vaisseaux
fascicolo: 9, volume: 91, anno: 1998,
pagine: 1133 - 1138
SICI:
0003-9683(1998)91:9<1133:LOOMRO>2.0.ZU;2-2
Fonte:
ISI
Lingua:
FRE
Soggetto:
OUTFLOW TRACT OBSTRUCTION; DOPPLER ECHOCARDIOGRAPHY; CARPENTIER TECHNIQUES; SURGERY; RECONSTRUCTION; DISEASE; INSUFFICIENCY; ANNULOPLASTY; INCOMPETENCE; REPLACEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
28
Recensione:
Indirizzi per estratti:
Citazione:
C. Chatel et al., "LONG-TERM OUTCOME OF MITRAL-VALVE REPAIR OF DYSTROPHIC MITRAL REGURGITATION", Archives des maladies du coeur et des vaisseaux, 91(9), 1998, pp. 1133-1138

Abstract

Between January 1984 and December 1994, 130 patients underwent mitralvalvuloplasty for pure dystrophic mitral regurgitation. There were 94men and 36 women with a mean age of 61 +/- 9 years : 52 patients werein atrial fibrillation : 91% of patients were in NYHA Classes III or IV. At preoperative echocardiography, the regurgitation was assessed as Grade III or IV and classified using the Carpentier classification according to type I (dilatation of the annulus) or II (mitral valve prolapse) : 95% of patients had isolated prolapse of the posterior leaflet, 3% had isolated prolapse of the anterior leaflet and 2% had prolapse of the two leaflets. After valvuloplasty, a prosthetic ring was implanted in 124 patients (95%). The early mortality was 3% ; 5.3% of patients had early complications. All patients underwent control transthoracic echocardiography in the first postoperative week. They were reviewed with a second transthoracic echocardiography after a mean follow-up of 5 +/- 0.3 years and a cumulative follow-up of 657 years-patients. At the immediate postoperative echocardiography, 24 minimal residual regurgitations were observed ; at long-term, 20 new mitral regurgitations developed, all mild without any clinical symptoms and 98% of patients were in the NYHA Classes I or II. At 10 years, the actuarial survival was 73 +/- 16%; absence of thromboembolic complications 95 +/- 3%,absence of reoperation 95 +/- 5%. This study confirms the efficacy ofmitral valvuloplasty and the postoperative stability of repaired valvular lesions. These results suggest that the operative indications should be considered at an earlier stage.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 15:07:04