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2015, Number 4

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Rev Cubana Cardiol Cir Cardiovasc 2015; 21 (4)

Surgery in patients with mitral valve disease. Institute of Cardiology and Cardiovascular Surgery 1996-2006

Andalia PKE, Rodríguez RV, Pérez LH

Language: Spanish
References: 82
Page:
PDF size: 422.04 Kb.


ABSTRACT

Introduction and objectives. The incorporation of new prosthetic valves and the application of new techniques have enabled implementation exhibit satisfactory results in the surgical treatment of mitral valve disease, with a notable improvement in functional capacity and quality of life of patients. This research was aimed to describe the behavior of the mitral valve surgery.
Methods. A descriptive study of patients undergoing surgery for mitral disease at the Institute of Cardiology and Cardiovascular Surgery of Havana took place from 1996 to 2006.
Results. The most frequent type of injury was mitral valve stenosis (46.8%). Smoking was the cardiovascular risk factor found mostly (44%). Heart failure was the main associated disease (36.5%). About half of the patients were in functional class III (52%). The most common etiology was rheumatic disease (94.3%). Most of the operations were performed electively (96.8%). The most frequent cause of urgent surgery was prosthetic dysfunction (53.3%). Postoperative complications associated with prosthetic frequently were: infectious endocarditis (2.9%), bleeding from anticoagulation (2.3%), prosthetic thrombosis (1.9%) and paravalvular leak (1.2%). The hospital mortality was (5.7%).
Conclusions. The valve lesion was predominant mitral stenosis and rheumatic disease was the most common etiology. The most frequent postoperative complications related to the prosthesis was infectious endocarditis and hospital mortality was low.


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