[Outcome of mitral valve replacement in Iceland]

Sigurdur Ragnarsson1, Martin Ingi Sigurdsson, Ragnar Danielsen

  • 1Department of Cardiothoracic surgery, Landspitali University Hospital, University of Iceland. tomasjud@landspitali.is

Laeknabladid
|March 31, 2012
PubMed
Abstract

Insights

Mitral valve replacement (MVR) in Iceland showed high complication rates, reflecting severe heart disease. However, operative mortality was comparable to international benchmarks, with a five-year survival of 69%.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Surgery
  • Thoracic Surgery

Context:

  • Mitral valve replacement (MVR) is a critical cardiac procedure.
  • Data on MVR outcomes in Iceland were previously unavailable.
  • This study addresses the need for local MVR outcome data.

Purpose:

  • To evaluate the short- and long-term results of mitral valve replacement in Iceland.
  • To analyze complication rates and survival following MVR.
  • To compare Icelandic MVR outcomes with international studies.

Summary:

  • A retrospective analysis of 66 MVR procedures in 64 Icelandic patients (1990-2010) was conducted.
  • High complication rates (9% 30-day mortality, 69% 5-year survival) were observed, linked to patient comorbidities.
  • Operative mortality was within the lower range compared to global studies.

Impact:

  • Provides crucial data on MVR outcomes in a national cohort.
  • Highlights the challenges and successes of MVR in a specific healthcare setting.
  • Informs future strategies for managing patients undergoing mitral valve surgery.

Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...