Document Detail


Bileaflet versus Posterior-Leaflet-Only Preservation in Mitral Valve Replacement.
MedLine Citation:
PMID:  24808776     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In the present study of mitral valve replacement, we investigated whether complete preservation of both leaflets (that is, the subvalvular apparatus) is superior to preservation of the posterior leaflet alone. Seventy patients who underwent mitral valve replacement in our clinic were divided into 2 groups: MVR-B (n=16), in whom both leaflets were preserved, and MVR-P (n=54), in whom only the posterior leaflet was preserved. The preoperative and postoperative clinical and echocardiographic findings were evaluated retrospectively. No signs of left ventricular outflow tract obstruction were observed in either group. In the MVR-B group, no decrease was observed in left ventricular ejection fraction during the postoperative period, whereas a significant reduction was observed in the MVR-P group (P=0.003). No differences were found between the 2 groups in their need for inotropic agents or intra-aortic balloon pump support, or in cross-clamp time, duration of intensive care unit or hospital stays, postoperative development of new atrial fibrillation, or mortality rates. Bileaflet preservation prevented the decrease in left ventricular ejection fraction that usually followed preservation of the posterior leaflet alone. However, posterior leaflet preservation alone yielded excellent results in terms of decreased left ventricular diameter. Bileaflet preservation should be the method of choice to prevent further decreases in ejection fraction and to avoid death in patients who present with substantially impaired left ventricular function.
Authors:
Ahmet Coskun Ozdemir; Bilgin Emrecan; Ahmet Baltalarli
Related Documents :
856546 - Evaluation of electrocardiogram in emergency room as a decision-making tool.
17224416 - Wave similarity of human ventricular fibrillation from bipolar electrograms.
22950816 - Effect of acupuncture therapy for postponing wallerian degeneration of cerebral infarct...
24134286 - The terminal portion of the t wave: a new electrocardiographic marker of risk of ventri...
1208976 - Regional myocardial metabolism during subtotal and total coronary artery occlusion.
7567156 - Tension pneumocephalus--a rare complication of radiotherapy in nasopharyngeal carcinoma.
Publication Detail:
Type:  Journal Article     Date:  2014-04-01
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  41     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-05-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  165-9     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Serum levels of soluble icam-1 in children with pulmonary artery hypertension.
Next Document:  Percutaneous Retrograde Transfemoral Closure of Mitral Paravalvular Leak in 3 Patients without Const...