Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency
The aim – to evaluate the results of the surgical treatment of primary mitral insufficiency (MIS) in single-centre study during three years. Materials and methods. The results of the mitral valve surgery performed from January 2010 to December 2012 in 144 consecutive patients with primary MIS have...
Saved in:
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
TOV Chetverta Khvylia
2017-05-01
|
Series: | Кардіохірургія та інтервенційна кардіологія |
Subjects: | |
Online Access: | http://csic.com.ua/images/pdf/2016/2-2016/retrospective-analysis-surgical-treatment-primary-mitral-insufficiency.pdf |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832569382115475456 |
---|---|
author | О.A. Myshakivskyy V.H. Аverchuk А.V. Ratych I.S. Protsyk I.P. Chornenkyy D.V. Аverchuk T.B. Rudyk Yu.A. Ivaniv L.V. Povalyashko D.S. Tymchuk V.I. Pavliuk L.Ya. Solovey I.I. Кobza |
author_facet | О.A. Myshakivskyy V.H. Аverchuk А.V. Ratych I.S. Protsyk I.P. Chornenkyy D.V. Аverchuk T.B. Rudyk Yu.A. Ivaniv L.V. Povalyashko D.S. Tymchuk V.I. Pavliuk L.Ya. Solovey I.I. Кobza |
author_sort | О.A. Myshakivskyy |
collection | DOAJ |
description | The aim – to evaluate the results of the surgical treatment of primary mitral insufficiency (MIS) in single-centre study during three years.
Materials and methods. The results of the mitral valve surgery performed from January 2010 to December 2012 in 144 consecutive patients with primary MIS have been analyzed. Registration of all parameters was performed using data of in-patient case reports. Severity of MIS and NYHA functional class (FC) before and after surgery were evaluated.
Results. Degenerative channges were a most frequent (54.2 %) cause of MIS. Chordal rupture most a most frequent immediate cause (53.5 %). Mitral valve repair was performed in 51 (35.4 %) patients, replacement – in 93 (64.6 %) patients. The duration of the in-hospital stay in the group of repair treatment was 14 (6–73) days, after replacement – 21.5 (8–63) days (p < 0.05). NYHA FC improved after surgery in 57 (39.7 %) persons, worsened – in 9 (6.3 %), remained stable im more than half of patients. This shows efficiency of pre-surgery drug preparation.
Conclusions. The duration of the in-hospital stay depended on type of the surgery and didn’t depend on NYHA FC. It was lower after mitral valve repair. Severity of MR decreased in all patients after mitral valve repair. |
format | Article |
id | doaj-art-3cd3862b224f4ad59aa7a01215108009 |
institution | Kabale University |
issn | 2305-3127 |
language | English |
publishDate | 2017-05-01 |
publisher | TOV Chetverta Khvylia |
record_format | Article |
series | Кардіохірургія та інтервенційна кардіологія |
spelling | doaj-art-3cd3862b224f4ad59aa7a012151080092025-02-02T21:44:11ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272017-05-012 (13)1118Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiencyО.A. Myshakivskyy0V.H. Аverchuk1А.V. Ratych2I.S. Protsyk3I.P. Chornenkyy4D.V. Аverchuk5T.B. Rudyk6Yu.A. Ivaniv7L.V. Povalyashko8D.S. Tymchuk9V.I. Pavliuk10L.Ya. Solovey11I.I. Кobza12Lviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalDanylo Galyckyi Lviv National Medical University, UkraineLviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalLviv Regional Clinical HospitalDanylo Galyckyi Lviv National Medical University, UkraineThe aim – to evaluate the results of the surgical treatment of primary mitral insufficiency (MIS) in single-centre study during three years. Materials and methods. The results of the mitral valve surgery performed from January 2010 to December 2012 in 144 consecutive patients with primary MIS have been analyzed. Registration of all parameters was performed using data of in-patient case reports. Severity of MIS and NYHA functional class (FC) before and after surgery were evaluated. Results. Degenerative channges were a most frequent (54.2 %) cause of MIS. Chordal rupture most a most frequent immediate cause (53.5 %). Mitral valve repair was performed in 51 (35.4 %) patients, replacement – in 93 (64.6 %) patients. The duration of the in-hospital stay in the group of repair treatment was 14 (6–73) days, after replacement – 21.5 (8–63) days (p < 0.05). NYHA FC improved after surgery in 57 (39.7 %) persons, worsened – in 9 (6.3 %), remained stable im more than half of patients. This shows efficiency of pre-surgery drug preparation. Conclusions. The duration of the in-hospital stay depended on type of the surgery and didn’t depend on NYHA FC. It was lower after mitral valve repair. Severity of MR decreased in all patients after mitral valve repair.http://csic.com.ua/images/pdf/2016/2-2016/retrospective-analysis-surgical-treatment-primary-mitral-insufficiency.pdfprimary mitral insufficiencymitral valvereplacement |
spellingShingle | О.A. Myshakivskyy V.H. Аverchuk А.V. Ratych I.S. Protsyk I.P. Chornenkyy D.V. Аverchuk T.B. Rudyk Yu.A. Ivaniv L.V. Povalyashko D.S. Tymchuk V.I. Pavliuk L.Ya. Solovey I.I. Кobza Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency Кардіохірургія та інтервенційна кардіологія primary mitral insufficiency mitral valve replacement |
title | Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency |
title_full | Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency |
title_fullStr | Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency |
title_full_unstemmed | Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency |
title_short | Retrospective single-center analysis of surgical treatment of patients with primary mitral insufficiency |
title_sort | retrospective single center analysis of surgical treatment of patients with primary mitral insufficiency |
topic | primary mitral insufficiency mitral valve replacement |
url | http://csic.com.ua/images/pdf/2016/2-2016/retrospective-analysis-surgical-treatment-primary-mitral-insufficiency.pdf |
work_keys_str_mv | AT oamyshakivskyy retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT vhaverchuk retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT avratych retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT isprotsyk retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT ipchornenkyy retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT dvaverchuk retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT tbrudyk retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT yuaivaniv retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT lvpovalyashko retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT dstymchuk retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT vipavliuk retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT lyasolovey retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency AT iikobza retrospectivesinglecenteranalysisofsurgicaltreatmentofpatientswithprimarymitralinsufficiency |