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Type: Artigo de periódico
Title: Late Outcomes Of Mitral Repair In Rheumatic Patients.
Author: Severino, Elaine Soraya Barbosa de Oliveira
Petrucci, Orlando
Vilarinho, Karlos Alexandre de Souza
Lavagnoli, Carlos Fernando Ramos
Silveira Filho, Lindemberg da Mota
Oliveira, Pedro Paulo Martins de
Vieira, Reinaldo Wilson
Braile, Domingo Marcolino
Abstract: The long-term results after surgical repair of rheumatic mitral valve remain controversial in literature. Our aim was to determine the predictive factors which impact the long-term results after isolated rheumatic mitral valve repair and to evaluate the effect of those factors on reoperation and late mortality. One hundred and four patients with rheumatic valve disease who had undergone mitral valve repair with or without tricuspid valve annuloplasty were included. All patients with associated procedures were excluded. The predictive variables for reoperation were assessed with Cox regression and Kaplan Meier survival curves. The mean follow-up time was 63 ± 39 months (CI 95% 36 to 74 months). The functional class III and IV was observed in 65.4% of all patients. The posterior ring annuloplasty was performed in 33 cases, comissutoromy in 21 cases, and comissurotomy with posterior ring annuloplasty in 50 patients. There was no operative mortality. The late mortality was 2.8% (three patients). The late reoperation was associated with residual mitral valve regurgitation after surgery (P<0.001), pulmonary hypertension at the pre-operative time (P<0.001), age (P<0.04) and functional class at the post-operative time (P<0.001). We observed freedom from reoperation rates at 5 and 10 years of 91.2 ± 3.4% and 71.1 ± 9.2%, respectively. Repair of mitral valve in rheumatic valve disease is feasible with good long-term outcomes. Preoperative pulmonary hypertension, residual mitral valve regurgitation after surgery, age and functional class are predictors of late reoperation.
Subject: Epidemiologic Methods
Heart Valve Diseases
Heart Valve Prosthesis Implantation
Hypertension, Pulmonary
Middle Aged
Mitral Valve
Mitral Valve Insufficiency
Preoperative Care
Rheumatic Heart Disease
Risk Factors
Treatment Outcome
Citation: Revista Brasileira De Cirurgia Cardiovascular : órgão Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular. v. 26, n. 4, p. 559-64
Rights: aberto
Appears in Collections:Unicamp - Artigos e Outros Documentos

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