Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 1999 June;40(3) > The Journal of Cardiovascular Surgery 1999 June;40(3):339-42

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

ORIGINAL ARTICLES  CARDIAC PAPERS


The Journal of Cardiovascular Surgery 1999 June;40(3):339-42

lingua: Inglese

Left ven­tric­ular rup­ture ­after ­mitral ­valve replace­ment

Cheng L. C., Chiu C. S. W.†, Lee J. W. T

From the Divi­sion of Car­di­oth­o­racic Sur­gery Depart­ment of Sur­gery Uni­ver­sity of ­Hong ­Kong, ­Hong ­Kong


PDF  


Back­ground. ­What are the imme­diate and ­long ­term out­comes of ­patients who had rup­ture of ­the left ven­tricle ­after ­mitral ­valve replace­ment?
­Methods. Experi­mental ­design: A ret­ro­spec­tive ­study ­with a 20-year ­follow-up. Set­ting: Expe­ri­ence in a ­single ter­tiary ­referral car­di­oth­o­racic sur­gery hos­pital. Par­tic­i­pants: 20 out of 3105 ­patients ­that ­received ­mitral ­valve replace­ment. Inter­ven­tion: All ­these 20 ­patients ­received re-explo­ra­tion for a ­trial of ­repair of ­left ven­tric­ular rup­ture ­either by an ­internal or an ­external or a com­bined ­repair. Meas­ures: Oper­a­tive mor­tality and ­long ­term out­come of the sur­vi­vals.
­Results. ­Most ­patients (16.80%) ­were ­female and had rheu­matic ­mitral ­valve dis­ease. The ­mean age of the ­patients was 58.1 ­years. All ­patients under­went ­attempted ­repair, usu­ally by ­removal of the pros­thesis and recon­sti­tu­tion of the ven­tricle ­from ­within the ­left ­atrium (75%). Thir­teen (65%) ­patients ­died. Two ­late ­deaths ­were of unre­lated ­cause. One sur­viving ­patient devel­oped a ­late ven­tric­ular ­false aneu­rysm but did not ­undergo ­repeat sur­gery. One ­patient devel­oped ­severe ­mitral regur­gi­ta­tion due to ­tissue ­failure of the bio­pros­thesis 12 ­years ­after sur­gery and she under­went a suc­cessful reop­er­a­tion.
Con­clu­sions. We ­believe ­that all ­patients ­should be ­placed ­back on car­di­o­pul­mo­nary ­bypass for an ­internal ­repair. The ­long ­term out­come of the sur­vi­vals is sat­is­fac­tory.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail