Combined Mitral and Tricuspid Valve Repair in Rheumatic Valve Disease

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Combined mitral and tricuspid valve repair in rheumatic valve disease: fewer reoperations with prosthetic ring annuloplasty.

BACKGROUND We examined predictors of early and very long-term outcome after combined mitral and tricuspid valve repair for rheumatic disease. METHODS AND RESULTS Between 1974 and 2002, 153 consecutive patients (mean age, 46.0+/-13.2 years) underwent combined mitral and tricuspid valve repair for rheumatic disease. Mitral disease was predominantly stenosis (82.3%); 100% of patients had organic...

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Valvular Heart Disease Combined Mitral and Tricuspid Valve Repair in Rheumatic Valve Disease Fewer Reoperations With Prosthetic Ring Annuloplasty

Background—We examined predictors of early and very long-term outcome after combined mitral and tricuspid valve repair for rheumatic disease. Methods and Results—Between 1974 and 2002, 153 consecutive patients (mean age, 46.0 13.2 years) underwent combined mitral and tricuspid valve repair for rheumatic disease. Mitral disease was predominantly stenosis (82.3%); 100% of patients had organic tri...

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Mitral valve repair in rheumatic disease. The flexible solution.

BACKGROUND Mitral valve repair in rheumatic disease is technically more difficult, and there is little information on the long-term stability of this technique. METHODS AND RESULTS From January 1975 to December 1990, 327 patients underwent mitral valve repair with the Duran flexible ring annuloplasty for rheumatic valve disease. Mean age was 45.4 +/- 12.6 years (range, 23 to 73 years). The te...

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Long-term outcomes after surgery for rheumatic mitral valve disease: valve repair versus mechanical valve replacement.

OBJECTIVES Although mitral valve (MV) repair is known to be superior to replacement in overall clinical outcomes, the appropriateness of valve repair for rheumatic MV disease remains controversial because of the risks of recurrent mitral dysfunction and the need for re-operation. METHODS From 1997 to 2007, 540 patients underwent either isolated MV repair (n=122) or replacement with a mechanic...

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Echo diagnosis of rheumatic tricuspid valve disease.

Rheumatic tricuspid valve disease (RTVd) remains uncommon. When present, it is almost always associated with rheumatic mitral valve disease (RMVd). Previously reported to occur in 2–22% of patients with RMVd, it appears to be less common today. A reported incidence of RTVd in patients with RMVd was 9.5% (14 of 147) in 1984, from a North American medical center. It now appears to be less common....

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ژورنال

عنوان ژورنال: Circulation

سال: 2010

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.109.894873