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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
1991-12-26
|
| pubmed:abstractText |
Other valvular lesions associated with pure MS were studied in 202 consecutive patients whose mean age was 43.4 +/- 12.7 years; 76.7% were females. MS was isolated in 63.4%, associated with aortic regurgitation (AR) in 27.7%, aortic stenosis in 1.0%, tricuspid stenosis (+aortic valve lesion) in 1.0%. In isolated MS, 42.4% were NYHA class III or IV, compared with 49.0% in MS + aortic valve lesion. One hundred and sixty-nine (85.4%) patients were operated on; 23.1% had mitral valve replacement, 76.9% had closed (31.4%) or open (45.6%) mitral commissurotomy; 7.1% had associated aortic valve replacement. There were perioperative complications in 20.4%, and the perioperative death rate was 4.1%. Two patients were reoperated in the postoperative course, and 28 patients after this period. The follow-up was 13.3 +/- 4.5 years. The survival rate was 77.7 +/- 4.6% (SE) for isolated MS, and 71.1 +/- 6.3% for MS associated with an aortic valve lesion (NS). The prognosis of MS is very good: the survival rate at 20 years follow-up is 75%. The association of aortic stenosis or tricuspid stenosis does not appear to alter this survival, but numbers are small. Important aortic regurgitation is a significant predictor of higher mortality in patients with MS.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0195-668X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
12 Suppl B
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
77-80
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| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:1936031-Adolescent,
pubmed-meshheading:1936031-Adult,
pubmed-meshheading:1936031-Aged,
pubmed-meshheading:1936031-Aortic Valve Insufficiency,
pubmed-meshheading:1936031-Female,
pubmed-meshheading:1936031-Follow-Up Studies,
pubmed-meshheading:1936031-Humans,
pubmed-meshheading:1936031-Male,
pubmed-meshheading:1936031-Middle Aged,
pubmed-meshheading:1936031-Mitral Valve Stenosis,
pubmed-meshheading:1936031-Survival Rate,
pubmed-meshheading:1936031-Time Factors
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Influence of associated valvular lesions on long-term prognosis of mitral stenosis. A 20-year follow-up of 202 patients.
|
| pubmed:affiliation |
Hôpital Cardiologique, Faculté Lyon Nord, France.
|
| pubmed:publicationType |
Journal Article
|