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Published on: December 11, 2017
Long term clinical outcomes following isolated mitral valve replacement
M Haraphongse1, R K Na-Ayudhya, R Williams
1Division of Cardiology, University of Alberta Hospitals, Edmonton.
The Canadian Journal of Cardiology
|June 1, 1993
Summary
Isolated mitral valve replacement offers improved long-term survival for patients with symptomatic mitral valve disease. This procedure can extend life and alleviate symptoms, showing better outcomes than medical management alone.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Disease
- Medical Outcomes Research
Background:
- Symptomatic mitral valve disease poses significant risks.
- Surgical intervention, specifically mitral valve replacement (MVR), is a critical treatment option.
Purpose of the Study:
- To evaluate the short- and long-term clinical outcomes of patients undergoing isolated mitral valve replacement.
- To compare survival rates with medically treated patients.
Main Methods:
- Retrospective review of 198 patients who underwent isolated MVR between 1981 and 1990.
- Data collection included hospital charts, physician records, and patient/relative contact.
- Follow-up averaged 6.3 years.
Main Results:
- Early operative mortality was 11%, with late mortality at 17%.
- Five-year survival was 72.9%, and 10-year survival was 63.1%.
- Long-term survival rates exceeded those of medically treated patients.
Conclusions:
- Isolated mitral valve replacement is effective in prolonging survival.
- The procedure also improves symptoms in patients with symptomatic mitral valve disease.
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