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Journals / Anadolu Kardiyoloji Dergisi / 2010 / Cilt: 10 - Sayı: 4

Clinical outcome and factors affecting surgical decision for repair versus replacement in patients with mitral regurgitation

Mitral kapak yetmezliğinin cerrahi tedavisinde onarım veya replasman seçimini etkileyen faktörler ve klinik sonuçlar

Mustafa KILIÇKAP
Çağdaş BARAN
Ümit ÖZYURDA
Ömer AKYÜREK
Çağın ZAİM
Serkan DURDU
Ahmet Rüçhan AKAR
Timuçin ALTIN
Cansın Tulunay KAYA
Pages
358–366
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: The choice of surgical technique depended on the etiology of MR.

📌 3 Key Takeaways

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Objective & Hypothesis:We aimed to identify characteristics differentiating patients undergoing mitral valve replacement versus valve repair for mitral regurgitation (MR) and to investigate retrospectively mid-term clinical and functional outcomes.
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Key Findings & Data:Methods: From January, 2004 to January, 2009 146 patients underwent mitral valve surgery (62 male / 84 female; age: 55.9±13.6 [18-80] years) by one surgical team.
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Conclusion & Impact:Results: The choice of surgical technique depended on the etiology of MR.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Domain Parameters

Abstract

We aimed to identify characteristics differentiating patients undergoing mitral valve replacement versus valve repair for mitral regurgitation (MR) and to investigate retrospectively mid-term clinical and functional outcomes. Methods: From January, 2004 to January, 2009 146 patients underwent mitral valve surgery (62 male / 84 female; age: 55.9±13.6 [18-80] years) by one surgical team. Mitral valve replacement was performed in 101 patients (69.2%) and valve repair was performed in 45 patients (30.8%). Mean follow-up time was 586±413 days. Life tables were constructed for the analysis of 5-year complication free survival and comparisons were performed between the groups using Log-rank test within 95%CI. Results: The choice of surgical technique depended on the etiology of MR. Degenerative (p

Özet

Çalışmanın amacı farklı etiyolojiler nedeniyle ciddi mitral kapak yetmezliği (MY) gelişmiş hastalarda gerçekleştirilen mitral kapak replasmanı (MVR) ve onarım (MVO) kararlarını etkileyen faktörlerin belirlenmesi, orta dönem klinik ve fonksiyonel sonuçlarının retrospektif gözlemle irdelenmesidir. Yöntemler: Kliniğimizde bir cerrahi ekip tarafından Ocak 2004/Ocak 2009 tarihleri arasında 146 mitral kapak operasyonu (62 erkek / 84 kadın; yaş: 55.9±13.6 [18-80] yıl) gerçekleştirilmiştir. Bunlardan 101 (%69.2) hastaya mitral kapak replasmanı (MVR), 45 (%30.8) hastaya mitral kapak onarımı (MVO) yapılmıştır. Ortalama takip süresi 586±413 gündü. Beş yıllık komplikasyonsuz sağkalım veri analizleri için yaşam tabloları kurgulandı, karşılaştırmalar %95 güven aralığında Log-rank testi kullanılarak elde edildi. Bulgular: Örneklemde onarım veya replasman seçiminde MY etiyolojisi önemli rol oynamıştır. Dejeneratif (p

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Cite This Article

KILIÇKAP, M., BARAN, Ç., ÖZYURDA, Ü., AKYÜREK, Ö., ZAİM, Ç., DURDU, S., AKAR, A. R., ALTIN, T., KAYA, C. T. (2022). Clinical outcome and factors affecting surgical decision for repair versus replacement in patients with mitral regurgitation. Anadolu Kardiyoloji Dergisi, Cilt: 10 - Sayı: 4, 358–366. https://ajindex.com/articles/436801

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