2009
DOI: 10.1590/s0102-76382009000500009
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Abstract: Objective: Mitral valve repair in rheumatic patients is still a challenge. The aim of this study is to assess the results of mitral valve repair in rheumatic patients with rheumatic mitral insufficiency.Methods: 330 patients with rheumatic mitral insufficiency who had undergone mitral valve repair in the Heart Institute HC-FMUSP were assessed retrospectively, between 1985 and 2005. The mean age was 26.9 ± 15.4 years and 57.6% were female. On preoperative assessment, 39.5% of patients were in NYHA functional cl… Show more

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Cited by 19 publications
(3 citation statements)
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“…With that policy, the incidence of recurrent moderate or severe MR has been low, although we often must accept smaller final effective orifice areas (around 1.8 - 2.5 cm 2 ) in patients with mixed lesions. In our country, Severino et al [ 24 ] and Pomerantzeff et al [ 25 ] have also shown the apparent feasibility and advantages of MVR in rheumatic patients. On the other hand, it must be emphasized that most rheumatic patients in this study had the so-called "burn-out" disease, that is less susceptible to newer acute inflammatory bursts of rheumatic fever, besides being carefully oriented and controlled with lifelong antibiotic prophylaxis against the disease [ 11 ] .…”
Section: Discussionmentioning
confidence: 95%
“…With that policy, the incidence of recurrent moderate or severe MR has been low, although we often must accept smaller final effective orifice areas (around 1.8 - 2.5 cm 2 ) in patients with mixed lesions. In our country, Severino et al [ 24 ] and Pomerantzeff et al [ 25 ] have also shown the apparent feasibility and advantages of MVR in rheumatic patients. On the other hand, it must be emphasized that most rheumatic patients in this study had the so-called "burn-out" disease, that is less susceptible to newer acute inflammatory bursts of rheumatic fever, besides being carefully oriented and controlled with lifelong antibiotic prophylaxis against the disease [ 11 ] .…”
Section: Discussionmentioning
confidence: 95%
“…Murad et al 7 studied 86 patients with a mean age of 35.8 years and concluded that MVP can be performed with low mortality and should be the procedure of choice in patients with MI. Similarly, Pomerantzeff et al 22 studied 330 patients with a mean age of 26.9 ± 15.4 years for 20 years and concluded that the MVP technique is feasible in rheumatic patients with low early and late mortality. Severino et al, 15 in a study with 104 adult patients (mean age 32.73 ± 14.74 years) evaluating MVP results in rheumatic patients, found that late reoperation was associated with postoperative residual MI (p < 0.001), presence of PH (p < 0.01), age (p < 0.04) and postoperative functional classification (p < 0.001).…”
Section: Original Articlementioning
confidence: 98%
“…Conservative management of mitral insufficiency is an alternative technique with attractive features [1][2][3][4][5]. Among the many advocates of valve repair, Alain Carpentier is the best-known [6].…”
Section: Introductionmentioning
confidence: 99%