[Multicomponent reconstructive operations on the mitral valve].
Between 1978 and 1990, 134 reconstructive operations were conducted on the mitral valve in its predominant incompetence. 50% of patients were related to functional class IV (NYHA), 76.1% had atrial fibrillation. In 44 (32.8%) patients interventions were conducted at the same time on other valves. The valvular disease was caused by rheumatism in 78.3%, congenital pathology in 10.4%, and impaired connective-tissue structure in 10.4% of cases. Hospital mortality was 5.9% (8 patients). Mortality in the group of patients with isolated annulovalvuloplasty was 4.4%. The immediate results were good in 93.3% of patients. The late results were studied in 120 patients during a maximum follow-up period of 12 years. The actuarial survival value by the 12th follow-up year was 83.5%. By that time there was no need for a repeated operation in 88.4% of patients, thrombolytic complications did not develop in 91.2% of cases, 96.7% of patients belong to functional classes I and II.
Skopin
I I
II
Kuznechevskiĭ
F G
FG
Ali
H
H
Makushin
A A
AA
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D002648:Child; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000145:classification / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D009031:Moscow / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D012214:Rheumatic Heart Disease / Q000145:classification / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D013923:Thromboembolism / Q000453:epidemiology
Mnogokomponentnye rekonstruktivnye operatsii na mitral'nom klapane.