Survival Advantage and Improved Durability of Mitral Repair for Leaflet Prolapse Subsets in the Current Era

Suri, Rakesh M.; Schaff, Hartzell V.; Dearani, Joseph A.; Sundt, Thoralf M.; Daly, Richard C.; Mullany, Charles J.; Enríquez-Sarano, Maurice; Orszulak, Thomas A.

doi:10.1016/j.athoracsur.2006.03.091

Cited by 385 publications

(269 citation statements)

References 24 publications

Supporting

Mentioning

250

Contrasting

Unclassified

Order By: Relevance

“…6) Many studies have showed that repair is better than replacement in terms of operative mortality, morbidity, survival, endocarditis and thromboembolic complications. 13,14) Although the reoperation ratios are suggested to be similar, there are studies referring to high reoperation ratios in the ischemic mitral regurgitation. 7) None of our patients needed reoperation within the six-month follow-up.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Health Related Quality of Life of Patients Following Mitral Valve Surgical Procedures in the 6-Months Follow-up: A Prospective Study

Kara

Aydın

et al. 2013

ATCS

View full text Add to dashboard Cite

Purpose: The aim of the present study is to evaluate the health-related quality of life of the patients who underwent mitral valve repair (MvRp) and mitral valve replacement (MVR). Methods: Within the scope of this prospective study design, 56 patients who had mitral valve operation between the years of 2011-2012 were enrolled in the study. 24 (42.8%) of these patients had MVR while 32 (57.1%) of them had MvRp. The health-related quality of life was evaluated according to the Turkey norms of Short Form 36 Quality-Of-Life Measures (SF-36), which were filled in by the patients before and 6 months after the operation. Moreover, preoperative risk factors affecting the quality of life (age, gender, functional capacity, rhythm, hypertension, diabetes, applied surgical method and echocardiographic results) were investigated for all the patients (n = 56) by using independent sample t test analysis. Results: When the pre and postoperative changes were compared between the two groups, it was found out that there were no significant difference between the groups in terms of restraints on physical role functioning (PR), and the social role functioning values (SF) (respectively; p = 0.097, p = 0.105). However, in the comparison of pre-/postoperative changes between the groups, the changes in physical functioning (PF), bodily pain (BP), general health (GH), vitality (VT) and restraints on emotional role functioning (RE) and mental health (MH) values were found out to be significantly superior in the MvRp group than in the MVR group (respectively; p <0.01, p <0.05, p <0.01, p <0.01, p <0.05 and p <0.01). It was also confirmed that female gender, atrial fibrillation (AFR), and MVR method negatively affected the physical and mental components (respectively; p = 0.033, p = 0.003, p = 0.015). Conclusion: Results of the SF-36 quality of life measures show that quality of life may be better in patients that have had MvRp. It should be considered that the planned surgical treatment method can affect the patient's quality of life, and this effect can indicate the success of the surgical treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…13,14) The avoidance of these complications, better protected ventricular functions and not having the mechanical valve sound, all refer to the expectation of better quality of life.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Health Related Quality of Life of Patients Following Mitral Valve Surgical Procedures in the 6-Months Follow-up: A Prospective Study

Kara

Aydın

et al. 2013

ATCS

View full text Add to dashboard Cite

show abstract

“…[24][25][26] Accordingly, MVr is more popular, particularly in patients in whom the ventricular function should be preserved carefully. [27,28] The primary goal of mitral valve operation is to heal the disease, while protecting the functional capacity.…”

Section: Discussionmentioning

confidence: 99%

A comparison of quality of life in mitral valve replacement and mitral valve repair patients

Arnaz¹

2017

Cardiovasc Surg Int

View full text Add to dashboard Cite

“…Third, the risk in traditional MV repair is very low. Several large single-institution series (7)(8)(9)(10)(11)(12)(13)16) have reported very low rates of operative mortality and morbidity in patients with nonischemic MR. According to the Society of Thoracic Surgeons database (15), the risk of operative mortality in isolated MV repair (n=4338) was only 1.3% in 2005.…”

mentioning

confidence: 99%

“…MV repair procedures range from the relatively simple and reproducible (eg, isolated annuloplasty for annular dilation or repair of a prolapsing P2 segment) to the complex and arduous (eg, bileaflet prolapse or repair of a Barlow's valve). MV repair, although more technically challenging, offers several well-described advantages over MV replacement, including better preservation of LV function, decreased risk of endocarditis, absence of anticoagulation in patients with sinus rhythm, and improved perioperative and long-term survival (11)(12)(13). Furthermore, MV repair eliminates the risk of structural valve dysfunction observed with bioprostheses.…”

mentioning

confidence: 99%

Are patients with mitral regurgitation being referred too late for surgery?

Borger

Walther

Mohr

2007

Canadian Journal of Cardiology

View full text Add to dashboard Cite

Survival Advantage and Improved Durability of Mitral Repair for Leaflet Prolapse Subsets in the Current Era

Cited by 385 publications

References 24 publications

Comparison of the Health Related Quality of Life of Patients Following Mitral Valve Surgical Procedures in the 6-Months Follow-up: A Prospective Study

Comparison of the Health Related Quality of Life of Patients Following Mitral Valve Surgical Procedures in the 6-Months Follow-up: A Prospective Study

A comparison of quality of life in mitral valve replacement and mitral valve repair patients

Are patients with mitral regurgitation being referred too late for surgery?

Contact Info

Product

Resources

About