title: Is mitral valve repair safe procedure in elderly patients?
abstract: The aim of this randomized, prospective, study was to evaluate postoperative hospital mortality and morbidity after mitral valve repair by comparing two surgical techniques for resolving mitral valve insufficiency in elderly patients. In comparison were: mitral valve repair vs. mitral valve replacement in patients older than 70 years. In period from January 1st 2006 until August 30th 2009. Eighty patients with mitral valve disease, isolated or associated with other comorbidities, were scheduled for mitral valve repair or mitral valve replacement in our institution. Patients were randomized in two groups, one scheduled for mitral valve repair and another one for mitral valve replacement using the envelope method with random numbers. Results show no difference in hospital mortality and morbidity postoperatively in both groups. In group undergoing valve replacement we had one significant complication of ventricle rupture in emphatically calcified posterior part of mitral valve annulus. In conclusion we found no distinction in postoperative hospital mortality and morbidity after using one of two surgical techniques.
authors.affiliation: Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia. igor.medved@ri.t-com.hr
authors.forename: Igor
authors.initials: I
authors.lastname: Medved
authors.forename: Darko
authors.initials: D
authors.lastname: Anić
authors.forename: Marin
authors.initials: M
authors.lastname: Ostrić
authors.forename: Boris
authors.initials: B
authors.lastname: Zrnić
authors.forename: Aldo
authors.initials: A
authors.lastname: Ivancić
authors.forename: Vjekoslav
authors.initials: V
authors.lastname: Tomulić
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D058386:Mitral Valve Annuloplasty / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D008944:Mitral Valve Insufficiency / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality*; D011446:Prospective Studies