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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1993-7-29
|
| pubmed:abstractText |
To assess the early and late valve-related events, 340 consecutive patients undergoing mitral valve repair from 1969 to 1988 were evaluated. Follow-up was complete, with a mean of 7.5% years and range from 2 to 22 years (cumulative 2456 patient-years). There were 221 (65%) female patients. Rheumatic valvular disease was present in 246 (68%) patients. The remaining patients had ischemic or congenital valve disease, floppy valve or infective endocarditis. At surgery, 47% of the patients had pure mitral incompetence, 43% had mixed mitral stenosis and incompetence and 10% had predominant mitral stenosis. Seventy-three percent of the patients were in functional class III or IV. Twelve percent had had prior heart surgery. Concomitant valve procedures including coronary revascularization were performed in 62.3%. There were 23 hospital deaths (6.8%) but only 3 of these (0.8%) were valve-related in patients who died at reoperation for valve repair failure. There were 4 other early repair failures who survived early reoperation. Of the 317 hospital survivors, there were 127 late deaths, and an actuarial survival of 44 +/- 3.7% (70% CL) at 14 years. Of these, 13 were valve-related or 0.5% patient-year. Late events included thromboembolism (TE) 1% patient-year, anticoagulant bleeding 0.4% patient-year, infective endocarditis (IE) 0.2% patient-year and late reoperation for mitral valve repair failure in 63 patients or 2.8% patient-year. At the late follow-up, 88% of the hospital survivors were in functional class I or II.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
1010-7940
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
7
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
263-70
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| pubmed:dateRevised |
2004-11-17
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| pubmed:meshHeading |
pubmed-meshheading:8517955-Actuarial Analysis,
pubmed-meshheading:8517955-Female,
pubmed-meshheading:8517955-Follow-Up Studies,
pubmed-meshheading:8517955-Hospital Mortality,
pubmed-meshheading:8517955-Humans,
pubmed-meshheading:8517955-Male,
pubmed-meshheading:8517955-Middle Aged,
pubmed-meshheading:8517955-Mitral Valve,
pubmed-meshheading:8517955-Mitral Valve Insufficiency,
pubmed-meshheading:8517955-Mitral Valve Prolapse,
pubmed-meshheading:8517955-Mitral Valve Stenosis,
pubmed-meshheading:8517955-Postoperative Complications,
pubmed-meshheading:8517955-Regression Analysis,
pubmed-meshheading:8517955-Reoperation,
pubmed-meshheading:8517955-Risk Factors,
pubmed-meshheading:8517955-Time Factors
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Valve-related events and valve-related mortality in 340 mitral valve repairs. A late phase follow-up study.
|
| pubmed:affiliation |
Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, NJ 08015.
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| pubmed:publicationType |
Journal Article
|