Late Outcomes Of Mitral Repair In Rheumatic Patients.

dc.creatorSeverino, Elaine Soraya Barbosa de Oliveira
dc.creatorPetrucci, Orlando
dc.creatorVilarinho, Karlos Alexandre de Souza
dc.creatorLavagnoli, Carlos Fernando Ramos
dc.creatorSilveira Filho, Lindemberg da Mota
dc.creatorOliveira, Pedro Paulo Martins de
dc.creatorVieira, Reinaldo Wilson
dc.creatorBraile, Domingo Marcolino
dc.date
dc.date2015-11-27T13:22:09Z
dc.date2015-11-27T13:22:09Z
dc.date.accessioned2018-03-29T01:14:22Z
dc.date.available2018-03-29T01:14:22Z
dc.identifierRevista Brasileira De Cirurgia Cardiovascular : órgão Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular. v. 26, n. 4, p. 559-64
dc.identifier1678-9741
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/22358270
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/199745
dc.identifier22358270
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1299978
dc.descriptionThe long-term results after surgical repair of rheumatic mitral valve remain controversial in literature. Our aim was to determine the predictive factors which impact the long-term results after isolated rheumatic mitral valve repair and to evaluate the effect of those factors on reoperation and late mortality. One hundred and four patients with rheumatic valve disease who had undergone mitral valve repair with or without tricuspid valve annuloplasty were included. All patients with associated procedures were excluded. The predictive variables for reoperation were assessed with Cox regression and Kaplan Meier survival curves. The mean follow-up time was 63 ± 39 months (CI 95% 36 to 74 months). The functional class III and IV was observed in 65.4% of all patients. The posterior ring annuloplasty was performed in 33 cases, comissutoromy in 21 cases, and comissurotomy with posterior ring annuloplasty in 50 patients. There was no operative mortality. The late mortality was 2.8% (three patients). The late reoperation was associated with residual mitral valve regurgitation after surgery (P<0.001), pulmonary hypertension at the pre-operative time (P<0.001), age (P<0.04) and functional class at the post-operative time (P<0.001). We observed freedom from reoperation rates at 5 and 10 years of 91.2 ± 3.4% and 71.1 ± 9.2%, respectively. Repair of mitral valve in rheumatic valve disease is feasible with good long-term outcomes. Preoperative pulmonary hypertension, residual mitral valve regurgitation after surgery, age and functional class are predictors of late reoperation.
dc.description26
dc.description559-64
dc.languageeng
dc.languagepor
dc.relationRevista Brasileira De Cirurgia Cardiovascular : órgão Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular
dc.relationRev Bras Cir Cardiovasc
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectEpidemiologic Methods
dc.subjectFemale
dc.subjectHeart Valve Diseases
dc.subjectHeart Valve Prosthesis Implantation
dc.subjectHumans
dc.subjectHypertension, Pulmonary
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMitral Valve
dc.subjectMitral Valve Insufficiency
dc.subjectPreoperative Care
dc.subjectReoperation
dc.subjectRheumatic Heart Disease
dc.subjectRisk Factors
dc.subjectTreatment Outcome
dc.titleLate Outcomes Of Mitral Repair In Rheumatic Patients.
dc.typeArtículos de revistas


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