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[Our experience with mitral valve surgery (author's transl)]

F Fesani, D Medici, E Mazzera

    L'Ateneo Parmense. Acta Bio-Medica : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
    |January 1, 1980
    PubMed
    Summary

    This study of 323 mitral valve surgeries found that improved techniques, case selection, and myocardial protection, including cardioplegia and hypothermia, significantly reduced mortality rates from 9.9% to 5%.

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    Area of Science:

    • Cardiovascular Surgery
    • Thoracic Surgery
    • Cardiac Valve Repair and Replacement

    Context:

    • Mitral valve surgery is a complex procedure with significant implications for cardiac function.
    • A substantial number of patients require intervention for conditions such as calcification and endocarditis.
    • Surgical approaches include prosthetic valve replacement and annuloplasty.

    Purpose:

    • To report on the surgical outcomes of 323 mitral valve operations.
    • To detail the types of mitral valve lesions encountered and the prosthetic devices used.
    • To analyze factors contributing to changes in mortality rates over time.

    Summary:

    • The study involved 323 mitral valve operations, with 308 prosthetic replacements and 15 annuloplasties.

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  • Common lesions included massive calcification (78 patients) and endocarditis (15 patients).
  • Mortality decreased from 9.9% to 5% in the last two years, attributed to refined techniques, case selection, cardioplegia, and hypothermia.

    • Impact:

    • Demonstrates a significant reduction in mortality for mitral valve surgery.
    • Highlights the importance of advanced surgical techniques and perioperative care.
    • Provides valuable data on prosthetic valve utilization and outcomes in complex cardiac cases.