Logo image
Back
Long-term results of open mitral valve reconstruction for mitral stenosis
Journal article   Peer reviewed

Long-term results of open mitral valve reconstruction for mitral stenosis

Lawrence H. Cohn, Elizabeth N. Allred, Leslie A. Cohn, Verdi J. Disesa, Richard J. Shemin and John J. Collins
The American journal of cardiology, v 55(6), pp 731-734
01 Mar 1985
DOI: https://doi.org/10.1016/0002-9149(85)90146-8
PMID: 3976518
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Open mitral reconstruction for rheumatic mitral stenosis (MS) was performed in 120 patients, 101 women and 19 men, aged 22 to 75 years (mean 49). Nine patients were functional class II, 106 class III, 5 class IV; 13 only underwent noninvasive studies, including echocardiography, before surgery, while 107 had preoperative cardiac catheterization studies. The latter showed a mean valve area of 1.09 cm 2 and a pulmonary artery wedge to left ventricular mean diastolic gradient of 14 mm Hg. Cardiopulmonary bypass was used in all patients for open reconstruction under direct vision. Superior commissurotomy was done in 115 patients, inferior in 114, papillary muscles were incised and chordae lengthened in 39 and calcium was excised from valve leaflets in 23. Suture or ring anuloplasty was not required in any patient. The series was begun January 1972 and terminated in January 1984. Personal follow up was conducted in July 1984. There were no operative deaths in the 120 patients. There were 5 late deaths, all from noncardiac causes. The mean follow-up time was 53 months. The actuarial probability of survival at 10 years was 95 ± 2%. Thromboemboli occurred in 9 patients; the probability of freedom from thromboemboli at 10 years was 91 ± 3% and the linearized rate was 1.8%/patient-year of follow-up. Reoperation was required in 9 patients, an absolute incidence of 7.5% and an annual incidence of 1.7%/patient year. At 10 years the probability of freedom from reoperation was 84 ±5%.

Metrics

1 Record Views
49 citations in Web of Science
45 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Web of Science research areas
Cardiac & Cardiovascular Systems
Logo image