Scopus
YÖKSİS Eşleşti
Postoperative Outcomes of Mitral Valve Repair in Patients with Bileaflet Prolapse
Genel Tip Dergisi · Nisan 2023
YÖKSİS Kayıtları
Biliflet Prolapsusu Olan Hastalarda Mitral Kapak Tamirinin Postoperatif Sonuçları
Genel Tıp Dergisi · 2023 TR DİZİN
DOÇENT ÖMER FARUK ÇİÇEK →
Makale Bilgileri
DergiGenel Tip Dergisi
Yayın TarihiNisan 2023
Cilt / Sayfa33 · 154-161
Scopus ID2-s2.0-105009261555
Özet
Background: Today, repair techniques almost completely take place of the mitral valve replacement, especially in patients with degenerative disease. Majority of the surgeons hesitate to prefer repair in patients with bileaflet prolapse. In this study we aimed to investigate postoperative results of our patients with mitral valve insufficiency due to bileaflet prolapse and treated with repair techniques. Methods: 89 patients who underwent mitral valve repair by the same surgical team due to bileaflet prolapse, between January 2006 and January 2016 in Hospital were included to this study. Preoperative, operative and postoperative data such as mortality, recurrent mitral insufficiency, echocardiographic chages and reoperation rates were investigated. Results: Mean follow up duration was 25.3±17.7 months. Mean age was 46.6±17.4. According to transthoracic echocardiographic evaluations, 8 (%9) patients had moderate and 81 (%91) patients had severe mitral insufficiency. When preoperative and postoperative values were compared, there was statistically significant improvement in functional capacity of patients according to NYHA classification. (2.1±0.5;1, p=0.001) Improvements in left ventricular end diastolic diameter(5.5±0.7; 5±0.6, p=0.001), left ventricular end sistolic diamete(3.8±0.6; 3.6±0.6, p=0.004 )r, left atrium diameter(4.8±0.9; 4.3±0.6, p=0.001) and pulmonary artery pressure (44.3±13.4; 32.1±5.4, p=0.001) were statistically significant. Conclusions: In the lights of findings about good postoperative results and durability rates, mitral valve repair can be safely used in patients with mitral valve insufficiency due to bileaflet prolapse especially with chordae replacement technique which can be feasible after improvements in suture technologies.
Yazarlar (11)
1
Orhan Eren Günertem
2
Ömer Faruk Çiçek
ORCID: 0000-0002-4675-3273
3
Serkan Mola
4
Ersin Kadirogullari;
5
İbrahim Erkengel
6
Adem Diken
7
Adnan Yalçinkaya
8
Emre Yaşar
9
Garip Altıntaş
10
Mahmut Ulaş
11
Gökhan Lafçi
ORCID: 0000-0002-0639-4341
Anahtar Kelimeler
bileaflet prolapse
Mitral valve
repair
Kurumlar
Ankara City Hospital
Ankara Turkey
Ankara Numune Hospital
Ankara Turkey
Antalya Training and Research Hospital
Antalya Turkey
Başkent Üniversitesi
Ankara Turkey
Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Istanbul Turkey
Sakarya Training and Research Hospital
Sakarya Turkey
Selçuk Üniversitesi
Selçuklu Turkey