کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5977006 1576223 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Predictors of outcome of non-ischemic mitral valve surgery
ترجمه فارسی عنوان
پیش بینی نتایج جراحی دریچه میترال غیر ایسکمی
کلمات کلیدی
جراحی شیر میترال، نتیجه بیماری دریچه میترال غیر ایسکمیک،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundData on the risk stratification of patients undergoing mitral valve (MV) surgery for non-ischemic mitral disease are sparse. The present study seeks to define them in a contemporary cohort.Methods193 consecutive patients referred to non-ischemic MV surgery were prospectively studied. Baseline characteristics and the type of surgery were analyzed with regard to operative and late mortality as well as functional outcome.Results129 patients underwent MV replacement and 64 MV repair. MV replacement patients presented with more symptoms (p = 0.010), higher EuroSCORE (6.1 versus 5.6; p = 0.009), more frequently underwent additional valve surgery (7.8 versus 0%; p = 0.003) and were more frequently female (p = 0.048). Operative mortality was 3.1%, two thirds of operative deaths had additional surgery of the tricuspid valve (p = 0.019).Patients were followed for 5.2 ± 2.7 years. 1-, 3-, 5- and 7-year survival rates were 93-, 91-, 82-, and 79% in MV replacement patients versus 100-, 98-, 96-, and 89% in patients with MV repair (p = 0.015). However, by multivariate logistic regression, overall mortality was determined by additional surgery of the tricuspid valve (p = 0.0103), multivessel coronary disease (p = 0.026), and age (p < 0.0001), but not by the type of surgery (p = 0.066). Furthermore, the type of surgery did not influence functional outcome (p = 0.515).ConclusionsApart from age and coronary artery disease the need for additional tricuspid valve surgery significantly determines the outcome of non-ischemic MV surgery. The type of operation appears less important when the need for additional valve surgery and co-morbidities like coronary artery disease are taken into consideration.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Cardiology - Volume 165, Issue 1, 30 April 2013, Pages 87-92
نویسندگان
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