Postoperative Outcomes of Mitral Valve Repair in Patients with Bileaflet Prolapse

Authors : Eren GÜNERTEM, Ömer Faruk ÇİÇEK, Serkan MOLA, Ersin KADİROGULLARI, Halil İbrahim ERKENGEL, Adnan YALÇINKAYA, Adem İlkay DİKEN, Emre YAŞAR, Garip ALTİNTAS, Mahmut ULAŞ, Gökhan LAFÇI

Pages : 154-161

Doi:10.54005/geneltip.1217843

View : 23 | Download : 17

Publication Date : 2023-04-30

Article Type : Research Paper

Abstract :Background Today, repair techniques almost completely take place of the mitral valve replacement, especially in patients with degenerative disease. Majority of the surgeons hesitate to prefer repair in patients with bileaflet prolapse. In this study we aimed to investigate postoperative results of our patients with mitral valve insufficiency due to bileaflet prolapse and treated with repair techniques Methods 89 patients who underwent mitral valve repair by the same surgical team due to bileaflet prolapse, between January 2006 and January 2016 in Turkiye Yuksek Ihtisas Hospital were included to this study. Preoperative, operative and postoperative data such as mortality, recurrent mitral insufficiency, echocardiographic parameters and reoperation rates were investigated. Results Mean follow up duration was 25.3±17.7 months. Mean age was 46.6±17.4 years. According to the transthoracic echocardiographic evaluations, 8 insert ignore into journalissuearticles values(9%); patients had moderate and 81 insert ignore into journalissuearticles values(91%); patients had severe mitral insufficiency. When preoperative and postoperative values were compared statistically significant improvement in functional capacity of patients according to NYHA classification has been noted. insert ignore into journalissuearticles values(2.1±0.5 ; 1, , p=0.001); Improvements in left ventricular end diastolic diameter insert ignore into journalissuearticles values(5.5±0.7 cm ; 5±0.6 cm, p=0.001);, left ventricular end sistolic diameter insert ignore into journalissuearticles values(3.8±0.6 cm ; 3.6±0.6 cm, p=0.004 );, left atrium diameter insert ignore into journalissuearticles values(4.8±0.9 cm ; 4.3±0.6 cm, p=0.001); and pulmonary artery pressure insert ignore into journalissuearticles values(44.3±13.4 mmHg; 32.1±5.4 mmHg, p=0.001); were statistically significant. Conclusions In the lights of findings about good postoperative results and durability rates, mitral valve repair can be safely used in patients with mitral valve insufficiency due to bileaflet prolapse especially with chordae replacement technique which can be feasible after improvements in suture technologies.
Keywords : mitral kapak, tamir, biliflet prolapsus