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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
13
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pubmed:dateCreated |
1986-4-30
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pubmed:abstractText |
In the last three years, 53 patients have undergone a valvuloplasty according to the Carpentier's principles. The patients age ranged from 5 to 35 years, with a mean of 14.3 years. The aetiology was congenital in one case, RHD in 45 cases, and endomyocardial fibrosis (EMF) in 7. The pre-operative condition was severe with 25 patients in class III and 10 patients in class IV. There was a cardiomegaly with a mean CTR of 0.70 (extremes 0.50 and 0.85). The mitral lesions were pure mitral insufficiency in 49 cases, and mixed lesions with predominant insufficiency in 4 cases. There were also 6 aortic and 4 tricuspid significant insufficiencies. The patients have had a valvuloplasty with chordae shortening (n: 46) valvular resection (n: 3), chordae resection (n: 8), annuloplasty without ring (n: 38) or with ring (n: 2). There were associated procedures: endocardectomy (n: 7), aortic valvuloplasty (n: 3), aortic valve replacement (n: 3), tricuspid annuloplasty (n: 4). There were 3 post-operative deaths in children in class IV, with cardiomegaly (CTR 0,80), and systemic pulmonary hypertension. There were 3 mitral valve replacements (MVR) in the first month for failure of the plasty, 2 late MVR for endocarditis and rheumatic evolution. There were 3 mitral valve replacements (MVR) in the first month for failure of the plasty, 2 late MVR for endocarditis and rheumatic evolution. There were 2 late deaths (recurrent mitral insufficiency, serum hepatitis), Among 43 long-term follow-up of patients with a plasty (mean follow-up 18 months), the result has been very good 39 times. There were 4 patients with a significant residual mitral incompetence.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1937-43
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pubmed:dateRevised |
2009-2-13
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pubmed:meshHeading |
pubmed-meshheading:2938555-Adolescent,
pubmed-meshheading:2938555-Adult,
pubmed-meshheading:2938555-Aged,
pubmed-meshheading:2938555-Cardiomegaly,
pubmed-meshheading:2938555-Child,
pubmed-meshheading:2938555-Echocardiography,
pubmed-meshheading:2938555-Endomyocardial Fibrosis,
pubmed-meshheading:2938555-Extracorporeal Circulation,
pubmed-meshheading:2938555-Follow-Up Studies,
pubmed-meshheading:2938555-Heart Valve Prosthesis,
pubmed-meshheading:2938555-Humans,
pubmed-meshheading:2938555-Middle Aged,
pubmed-meshheading:2938555-Mitral Valve,
pubmed-meshheading:2938555-Mitral Valve Insufficiency,
pubmed-meshheading:2938555-Postoperative Complications,
pubmed-meshheading:2938555-Reoperation
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pubmed:year |
1985
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pubmed:articleTitle |
[Reconstructive mitral valvuloplasty. Results apropos of 53 cases].
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pubmed:publicationType |
Journal Article,
English Abstract
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