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- Title
EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR.
- Authors
İlkeli, Ekin; Bollukçu, Ahmet; Çiloğlu, Ufuk; Alibeyoğlu, Şebnem; Dağsalı, Sabri
- Abstract
Aim: The present study aimed to evaluate mid-term clinical and echocardiographic outcomes of the Alfieri edge-to-edge repair performed on patients with moderate to severe mitral regurgitation (MR). Methods: Thirty patients (mean age, 61.2±11.2 years; 18 males) with moderate to severe MR of different etiologies and a pulmonary artery pressure (PAP) of >40 mmHg who underwent a Alfieri repair between 2005 and 2011 were included. All patients were selected and followed by the same surgical team and cardiologist. The Alfieri edge-to-edge repair with ring annuloplasty was performed. The patients were postoperatively evaluated in terms of degree of MR, functional capacity according to the New York Heart Association (NYHA) classification, PAP, left atrial diameter (LAD), atrial fibrillation, ejection fraction (EF), risk of functional mitral stenosis, etiological factors, and mortality. Results: Postoperative NYHA class, MR and LAD values of the study patients were significantly better as compared to the preoperative values (p<0.001). The rate of patients with increased mean PAP in the preoperative period significantly reduced in the postoperative period (70% vs. 30%, p<0.001). Functional mitral stenosis developed in only one patient. Mortality was found higher in the patients with ischemic MR with higher NYHA functional class than in those with degenerative or rheumatic MR. Conclusion: Mid-term outcomes of the Alfieri edge-to-edge repair with ring annuloplasty, particularly in degenerative mitral valve pathologies, are promising. Regression in symptoms, improvements in functional capacity and examination findings, and decrease in the degree of MR, and the improvements in the echocardiographic findings including decrease in PAP and LAD values, and the absence of atrial fibrillation and thromboembolism are important clinical outcomes. Key words:
- Publication
Duzce Medical Journal, 2014, Vol 16, Issue 2, p6
- ISSN
1307-671X
- Publication type
Article