TAILIEUCHUNG - Early and long term results of mitral valve repair for mitral regurgitation due to isolated posterior leaflet prolapse

Objectives: To evaluate the long-term results of mitral valve repair in patients with mitral regurgitation caused by isolated posterior leaflet prolapse at Danang Hospital. Subjects and methods: A retrospective, descriptive study combined with a prospective study. Thirty two patients with chronic severe mitral regurgitation due to isolated posterior leaflet prolapse were treated by new surgical techniques in Danang Hospital from February 2010 to October 2017. | Journal of military pharmaco-medicine no7-2018 EARLY AND LONG-TERM RESULTS OF MITRAL VALVE REPAIR FOR MITRAL REGURGITATION DUE TO ISOLATED POSTERIOR LEAFLET PROLAPSE Tran Ngoc Vu*; Le Ngoc Thanh** SUMMARY Objectives: To evaluate the long-term results of mitral valve repair in patients with mitral regurgitation caused by isolated posterior leaflet prolapse at Danang Hospital. Subjects and methods: A retrospective, descriptive study combined with a prospective study. Thirty two patients with chronic severe mitral regurgitation due to isolated posterior leaflet prolapse were treated by new surgical techniques in Danang Hospital from February 2010 to October 2017. Preoperative, pre-discharge and follow-up findings were recorded. Postoperative echocardiography was performed in all patients at predischarge and during clinical follow-up. Late survival and freedom from adverse events including hemorrhage, endocarditis, reoperation, and residual severe mitral regurgitation were estimated by using the Kaplan-Meier survival analysis. Results: Ages ranged from 12 to 68 years (mean ± years). According to New York Heart Association (NYHA) functional classification: (1/32) of patients were in class I; (29/32) were in class II; (2/32) were in class III, and no patient was in class IV; 32 patients (100%) had severe mitral valve regurgitation (3+). Twentysix patients were treated by triangular resection of posterior leaflet; five patients by chordal replacement and one patient by both techniques. Echocardiography was carried out in all patients before discharged from hospital; of patients had no or mild regurgitation, and of patients had moderate regurgitation (2+), no one had severe regurgitation; no inhospital mortality. Late mortality occurred in only one patient at 3 months after discharge because of severe heart failure. The mean follow-up time of patients was ± months (from 3 to 94 months), all the 31 surviving patients

• Y khoa - Dược
• Mitral valve
• Isolated posterior prolapse mitral regurgitation
• Mitral repair
• Surgical techniques in Danang Hospita
• Aortic valve replacement
• Mitral valve replacement
• Arterial and mixed venous blood gas parameter
• Pulmonary artery occlusion pressure
• Central venous pressure
• Baseline systolic pulmonary artery pressure
• Pulmonary hypertension
• Oxygen delivery
• Oxygen metabolism
• Preservation of the subvalvular apparatus
• Ventricular systolic function
• Rheumatic fever
• Tạp chí khoa học
• Tạp chí y dược
• Y dược quân sự
• Saint Jude mechanical valve
• Minimally invasive mitral valve surgery
• Fast tract cardiac anesthesia
• Video assisted thoracoscopic
• Cardiac anesthesia
• The study on clinical phenotypes
• Left heart disease
• Pre operation time in patients
• Isolated mitral valve replacement
• Double valve replacement
• Cardiology subspecialty consult
• Aortic valve disease
• Mitral valve disease
• Tricuspid valve disease
• Infective endocarditis
• Diseases of the aorta
• Clinical echocardiography
• Hemodynamic evaluation
• Mitral stenosis
• Mitral regurgitation
• Aortic valve stenosis
• Aortic valve regurgitation
• Acute renal failure
• Cardiothoracic surgery
• Valvular heart disease
• Mitral valve repair
• Patient outcome assessment
• BMC Veterinary Research
• Left ventricular structure and function
• Myxomatous mitral valve degeneration
• Laboratory animal models
• Cardiac wall stress
• Exercise test
• Congestive heart failure
• Receiving pimobendan
• Genes expression
• Gene clustering
• Gene networks
• Myxomatous mitral valve disease
• Extra cellular matrix remodelling
• Renin angiotensin aldosterone system
• Angiotensin II
• trình bày báo cáo
• tài liệu báo cáo khoa học
• báo cáo y học
• kiến thức y học
• nghiên cứu y học
• Dynamic echocardiography
• Aortic stenosis aortic regurgitation
• Mitral stenosis mitral regurgitation
• Transesophageal echocardiography
• Prosthetic heart valve disease
• Interventional intraoperative echocardiograph
• Successful accreditation in echocardiography
• A Self assessment guide
• Basic physics and anatomy
• The aortic valve
• Left ventricular assessment
• The mitral valve
• Right ventricular assessment
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