Evaluation of Early and Midterm Mitral Valve Repair Results in Consecutive Severe Mitral Regurgitation Patients

Uygur, FeragatDeniz, Hayati2022-05-102022-05-102022Uygur, F., & Deniz, H. (2022). Evaluation of Early and Midterm Mitral Valve Repair Results in Consecutive Severe Mitral Regurgitation Patients. PROGRESS IN NUTRITION, v. 24/1 https://doi.org/10.23751/pn.v24iS1.12879https://doi.org/10.23751/pn.v24iS1.12879https://www.scopus.com/record/display.uri?eid=2-s2.0-85128768620&origin=SingleRecordEmailAlert&dgcid=raven_sc_affil_en_us_email&txGid=ff7a7ec78b446902225482cc22c686bb&featureToggles=FEATURE_NEW_DOC_DETAILS_EXPORT:1https://hdl.handle.net/20.500.12514/3082https://www.webofscience.com/wos/woscc/full-record/WOS:000775430800001?AlertId=d383397b-4355-449e-9419-70f9e0e77c15&SID=EUW1ED0D20h9VmzTnXJRFru4mp4XrStudy Objectives: Surgical valve repair for mitral regurgitation has significant advantages over valve replacement. In this study, we aimed to investigate the early and mid-term results of mitral valve repair using current techniques in order to find out independent risk factors affecting the early and mid-term outcomes. Methods: We retrospectively studied firstly 192 consecutive adult patients (mean age: 43.2±12.3; 120 females and 72 males) who underwent primary mitral valve repair between January 2012 and July 2018. Risk factors affecting the need for re-operations and late survival were determined via univariate and multivariate analyses. Actuarial survival and event-free curves were compared by linear regression analysis. Results: Operative mortality was 2.6% (5 deaths 0–30th. postoperative day (POD). Late mortality was 3.7% (7/187). Reoperation was required in 16 (8.3%) patients. Kaplan–Meier actuarial survival was 95.8%±2.3% at a mean of 43 months. Survival free from reoperation was 92.8%± 4.2% at 60 months. Multivariate analysis demonstrated that residual NYHA class III and IV, low preoperative ejection fraction, and ischemic MR were independent predictors of mortality. Conclusion: We concluded that mitral valve repair showed excellent survival (except ischemic MR), acceptable re-operation rate with satisfactory valve function in a mid-term follow-up period.en10.23751/pn.v24iS1.12879info:eu-repo/semantics/openAccessMitral valve repair, regurgitation, repair techniquesEvaluation of Early and Midterm Mitral Valve Repair Results in Consecutive Severe Mitral Regurgitation PatientsArticle241N/AN/AWOS:0007754308000012-s2.0-85128768620