Volume : VII, Issue : V, May - 2018
Mitral Valve Repair Is Still A Reasonable Option In The Absence Of An Intraoperative Echocardiography
Dr Ratish Radhakrishnan, Dr. Joseph Thomas Kathayanatt, Dr Aravind S Ganapath
Abstract :
Mitral valve repair is the treatment of choice in patients with mitral insufficiency. Mechanical valves, even when functioning perfectly, are less
efficient hemodynamically than a native mitral valve and also have attendant morbidity from thrombolism, anticoagulant–related hemorrhage, and
endocarditis. Long–term data have confirmed the durability of mitral repair. Mitral valve repair was performed on 64 consecutive patients between
Nov. 2009 and april 2013,. The repair technique included quadrangular resection, artificial chordae placement, chordal transfer, and chordal
shortening. In all patients repair was reinforced with flexible incomplete annuloplasty ring. There were 64 patients(consecutive) in our study.Of
these 37 were males(57.8%).Most of our patients were having mitral valve prolapse(50%).Other etiologies being Rheumatic (26.5%). Associated
procedures included AVR(4/64), Tricuspid repair(4/64), LV aneurysm repair(1) and ASD closure(1).All patients underwent placement of
annuloplasty with flexible incomplete ring. Additional procedures included triangular resection, quadrangular resection, placement of synthetic
chordae , commisurotomy, chordal splitting and closure of clefts. The approach valve was mostly through LA. All cases had moderate or mod–sev
or severe MR. Before and after repair they underwent saline test. Our hospital did not have the privilege of an intraop TEE during the period of
study. No patients had more than mild MR post op.
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DOI : 10.36106/ijsr
Cite This Article:
Dr Ratish Radhakrishnan, Dr. Joseph Thomas Kathayanatt, Dr Aravind S Ganapath, Mitral Valve Repair Is Still A Reasonable Option In The Absence Of An Intraoperative Echocardiography, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-5 | May-2018
Number of Downloads : 218
References :
Dr Ratish Radhakrishnan, Dr. Joseph Thomas Kathayanatt, Dr Aravind S Ganapath, Mitral Valve Repair Is Still A Reasonable Option In The Absence Of An Intraoperative Echocardiography, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-5 | May-2018
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