Document Detail


Mitral valve replacement with preservation of the subvalvular structures where possible: an echocardiographic and clinical comparison with cases where preservation was not possible. Surgical technique and early postoperative course.
MedLine Citation:
PMID:  8184387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mitral valve replacement (MVR) is still associated with a relatively high mortality. To prove the benefits of chordal preservation at mitral valve replacement, we investigated its effects in a series of 65 consecutive MVR patients. Of those patients, in 42 preservation of the mitral subvalvular structures was possible whereas in the other 23 they had to be excised. Both groups showed no differences in age, sex, preoperative NYHA class, and valve pathology. Intra- and postoperative management was similar in both groups. The surgical techniques employed are described and the early postoperative course of both groups are analysed. Clinical, electrocardiographic and echocardiographic investigations, measuring left-atrial and -ventricular diameters, right-ventricular diameters and left-ventricular length, demonstrated that whereas beneficial effects were evident in both groups, the amount of benefits was higher in patients with chordal preservation. Chordal preservation also provided less arrhythmias than chordal resection.
Authors:
U Straub; P Feindt; H Huwer; G Kalweit; I Volkmer; E Gams
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  42     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-06-15     Completed Date:  1994-06-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  2-8     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Saarland University Hospital, Homburg/Saar, Germany.
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / etiology
Chordae Tendineae
Echocardiography
Electrocardiography
Female
Heart Valve Prosthesis*
Humans
Male
Methods
Middle Aged
Mitral Valve
Mitral Valve Insufficiency / surgery
Mitral Valve Stenosis / surgery
Postoperative Complications
Postoperative Period

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


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