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Prognosis of aortic valve disease following mitral valve surgery
INTRODUCTION: Little is known about the course of aortic valve disease in patients undergoing mitral valve surgery for rheumatic mitral valve disease. In addition, there are no guidelines regarding the appropriate treatment of mild aortic valve disease while replacing the mitral valve. AIM: To evalu...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690147/ https://www.ncbi.nlm.nih.gov/pubmed/31410092 http://dx.doi.org/10.5114/kitp.2019.86357 |
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author | Baria, Kinnaresh Kothari, Jignesh Rathod, Divyesh |
author_facet | Baria, Kinnaresh Kothari, Jignesh Rathod, Divyesh |
author_sort | Baria, Kinnaresh |
collection | PubMed |
description | INTRODUCTION: Little is known about the course of aortic valve disease in patients undergoing mitral valve surgery for rheumatic mitral valve disease. In addition, there are no guidelines regarding the appropriate treatment of mild aortic valve disease while replacing the mitral valve. AIM: To evaluate the long-term outcome of aortic valve disease and the need for aortic valve surgery in patients with rheumatic mitral valve disease who underwent mitral valve surgery. MATERIAL AND METHODS: Twenty patients (6 male, 14 female; mean age: 23.4 years, range: 14–41) were followed after mitral valve surgery for a mean period of 14 years. All patients had rheumatic heart disease. Aortic valve function was assessed preoperatively by transthoracic echocardiography and during follow-up. RESULTS: At the time of mitral valve surgery, 11 (55%) patients had aortic valve disease with aortic regurgitation. Nine (45%) patients had no evidence of aortic valve disease. At second surgery, all patients had aortic valve disease (either pure regurgitation or with stenosis). Most had mild disease at the time of mitral valve surgery. Aortic valve replacement was needed after a mean period of 14.1 years (range: 3–26 years). CONCLUSIONS: In patients with rheumatic heart disease, a noticeable number of patients have mild aortic valve disease at the time of mitral valve surgery. Only a few progress to severe disease, and aortic valve replacement is rarely needed after a long follow-up period. |
format | Online Article Text |
id | pubmed-6690147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-66901472019-08-13 Prognosis of aortic valve disease following mitral valve surgery Baria, Kinnaresh Kothari, Jignesh Rathod, Divyesh Kardiochir Torakochirurgia Pol Original Paper INTRODUCTION: Little is known about the course of aortic valve disease in patients undergoing mitral valve surgery for rheumatic mitral valve disease. In addition, there are no guidelines regarding the appropriate treatment of mild aortic valve disease while replacing the mitral valve. AIM: To evaluate the long-term outcome of aortic valve disease and the need for aortic valve surgery in patients with rheumatic mitral valve disease who underwent mitral valve surgery. MATERIAL AND METHODS: Twenty patients (6 male, 14 female; mean age: 23.4 years, range: 14–41) were followed after mitral valve surgery for a mean period of 14 years. All patients had rheumatic heart disease. Aortic valve function was assessed preoperatively by transthoracic echocardiography and during follow-up. RESULTS: At the time of mitral valve surgery, 11 (55%) patients had aortic valve disease with aortic regurgitation. Nine (45%) patients had no evidence of aortic valve disease. At second surgery, all patients had aortic valve disease (either pure regurgitation or with stenosis). Most had mild disease at the time of mitral valve surgery. Aortic valve replacement was needed after a mean period of 14.1 years (range: 3–26 years). CONCLUSIONS: In patients with rheumatic heart disease, a noticeable number of patients have mild aortic valve disease at the time of mitral valve surgery. Only a few progress to severe disease, and aortic valve replacement is rarely needed after a long follow-up period. Termedia Publishing House 2019-06-28 2019-07 /pmc/articles/PMC6690147/ /pubmed/31410092 http://dx.doi.org/10.5114/kitp.2019.86357 Text en Copyright: © 2019 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Baria, Kinnaresh Kothari, Jignesh Rathod, Divyesh Prognosis of aortic valve disease following mitral valve surgery |
title | Prognosis of aortic valve disease following mitral valve surgery |
title_full | Prognosis of aortic valve disease following mitral valve surgery |
title_fullStr | Prognosis of aortic valve disease following mitral valve surgery |
title_full_unstemmed | Prognosis of aortic valve disease following mitral valve surgery |
title_short | Prognosis of aortic valve disease following mitral valve surgery |
title_sort | prognosis of aortic valve disease following mitral valve surgery |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690147/ https://www.ncbi.nlm.nih.gov/pubmed/31410092 http://dx.doi.org/10.5114/kitp.2019.86357 |
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