Mitral valve repair in fibroelastic deficiency
نویسندگان
چکیده
Results 158 patients were considered to have FED and had MVR in our institution from 2005 to 2014. Mean follow-up was 1468 days. Mean age was 65,8 years. Preoperative functional status (FS) was NYHA III-IV in 61 patients (38,6%). There were 4 in-hospital deaths (4/158) none of them in the operating room (OR) 6 out of 158 left the OR with >2+ mitral insufficiency (MI). At discharge there were 15 deaths. Actuarial survival was 89,6% (13 deaths/154) Freedom from >2+ MI was 92,8% (129/139) with 6 patients being reoperated during follow-up (4 underwent MV replacement and 2 cardiac transplantation). Freedom from FS >III+ was 132/139. No endocarditis were observed during follow-up. Discussion/Conclusion Long-term results for FED mitral valve repair seem to be excellent being apparently the primary option for these patients. Endocarditis and thromboembolic events appear to be almost forgotten in this setting.
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