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...

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Main Authors: 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
Format: Article
Language:English
Published: TOV Chetverta Khvylia 2017-05-01
Series:Кардіохірургія та інтервенційна кардіологія
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Online Access:http://csic.com.ua/images/pdf/2016/2-2016/retrospective-analysis-surgical-treatment-primary-mitral-insufficiency.pdf
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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.
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institution Kabale University
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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
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