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Original Article

PAFMJ. 2017; 67(1): 150-154


MITRAL VALVE REPAIR IN A RHEUMATIC POPULATION: AN EXPERIENCE AT AFIC/ NIHD

Muhammad Ahmad, Asif Mahmood Janjuja, M Afsheen Iqbal.

Abstract
Objective: To analyze the outcome of mitral valve repair in rheumatic heart disease.
Study Design: Retrospective analytical.
Place and Duration of Study: Armed forces institute of cardiology/National institute of heart diseases Rawalpindi from Jan 2011 to June 2013.
Material and Methods: In this retrospective study of 28 patients (15 females). The mean age was 20.2 11.2 years (range, 11 to 55 years). The cause of mitral regurgitation was rheumatic in all patients, with no congenital myxomatous, infective or ischemic cases. About 68% patients were in New York Heart Association (NYHA) functional class III or IV. In all the cases posterior ring annuloplasty was done with flexible C- Shape rings with size ranging from 20 to 26 mm. Repairs included anterior leaflet repair with cusp shortening & resuspension (n=17), posterior leaflet repair with quardranguloplasty & transpositioning (n=6), commissuroplasty (n=2) and mixed anterior posterior leaflet repair (n=3).
Results: There was no operative mortality. Follow-up was carried out for 10 months. The trivial mitral regurgitation was found in 3 cases (10.7%). Four (14.2 %) patients required mitral valve replacement due to valve dysfunction.
Conclusion: Mitral valve repair in rheumatic patients, with current techniques, can effectively correct functional and hemodynamic abnormalities with satisfactory results.

Key words: Mitral valve repair, Mitral regurgitation.



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