| Long-term follow-up of mitral paraprosthetic regurgitation by transesophageal echocardiography. | |
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MedLine Citation:
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PMID: 7986546 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Paravalvular regurgitation (PVR) is an uncommon complication of mitral valve replacement (MVR). Although severe PVR is almost always repaired immediately when recognized during surgery, there are little data available on the management of patients with mild and moderate PVR. This study includes eight patients with mild (n = 6) and moderate (n = 2) PVR identified by transesophageal echocardiography at the time of MVR who were treated conservatively. Clinical and echocardiographic follow-up was obtained at a mean of 16.3 months. Two of six patients with mild PVR at the time of MVR and two of two patients with moderate PVR at the time of MVR deteriorated clinically and echocardiographically over time. We suggest that moderate PVR should be corrected at the time of valve-replacement surgery, if this can be performed without high operative risk. Mild PVR should probably also be repaired, if this can be performed at low risk, because some will progress. Patients left with mild PVR after surgery, or patients in whom PVR is recognized only after surgery, should be followed up carefully with serial clinical and echocardiographic examinations. |
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Authors:
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H D Movsowitz; S I Shah; A Ioli; M N Kotler; L E Jacobs |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography Volume: 7 ISSN: 0894-7317 ISO Abbreviation: J Am Soc Echocardiogr Publication Date: 1994 Sep-Oct |
Date Detail:
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Created Date: 1995-01-10 Completed Date: 1995-01-10 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8801388 Medline TA: J Am Soc Echocardiogr Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 488-92 Citation Subset: IM |
Affiliation:
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Echocardiographic Laboratory, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, PA 19141. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Echocardiography, Transesophageal* Female Follow-Up Studies Heart Valve Prosthesis / adverse effects* Humans Male Middle Aged Mitral Valve / surgery, ultrasonography Mitral Valve Insufficiency / etiology, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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