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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398970817009 https://www.redalyc.org/journal/3989/398970817009/ https://www.redalyc.org/journal/3989/398970817009/html/ https://www.redalyc.org/journal/3989/398970817009/398970817009.epub https://www.redalyc.org/journal/3989/398970817009/movil |
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Table of Contents:
- Early- and Long-Term Outcomes of Mitral Valve Repair in a Low-Volume Centre in the Caribbean Richard A. E. Ramsingh Gianni D. Angelini Risshi D. Rampersad Natasha C. Rahaman Giovanni Teodori Medicina Reoperation Data Management Echocardiography Caribbean Region Mitral Valve Annuloplasty Introduction: This study examines early- and long-term outcomes of mitral valve repairs in a low-volume cardiac surgery centre in the Caribbean. Methods: Ninety-six consecutive patients underwent mitral valve repair from April 2009 to December 2018. Patients were divided into two groups: functional mitral regurgitation requiring simple mitral annuloplasty (FMR, n=63) or structural degenerative mitral regurgitation requiring more complex repair (DMR, n=33). Data collected prospectively were retrospectively analysed from the unitmaintained cardiac surgery database. Results: Thirty-day mortality in the whole series was 2.1%, with 3% in the FMR group and 0% in the DMR group. Early post-operative echocardiography in the FMR group demonstrated 51 patients (83.6%) without mitral regurgitation, 8 patients (13.1%) with trivial to mild regurgitation, and 2 patients (3.3%) with moderate regurgitation. However, at a mean follow-up of 98.2±50.8, only 21 patients (42.8%) were in NYHA class I, with 7 (14.2%) in class II, 16 (32.6%) in class III, and 5 (10.2%) in class IV. There were 9 cardiac-related deaths at final follow-up, with freedom from re-operation and survival of 98% and 75.6%, respectively. In the DMR group, early post-operative echocardiography demonstrated 29 patients (87.9%) without mitral regurgitation, 3 patients (9.1%) with trivial regurgitation and 1 patient (3.0%) with mild regurgitation. At a mean follow-up of 114.1±25.4 months, there was a good functional postoperative status in this group with 93.3% in NYHA class I, and 6.7% in class II. No patient required reintervention, 96.3% of patients had mild or no mitral regurgitation and survival was 90.9%. Conclusion: Despite challenges of maintaining skills in a lowvolume centre, mitral valve repair can be performed safely with good early- and long-term results. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398970817009 https://www.redalyc.org/journal/3989/398970817009/ https://www.redalyc.org/journal/3989/398970817009/html/ https://www.redalyc.org/journal/3989/398970817009/398970817009.epub https://www.redalyc.org/journal/3989/398970817009/movil 10.21470/1678-9741-2020-0421 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.37