Left Ventricle and Left Atrium Remodeling after Mitral Valve Replacement in Case of Mixed Mitral Valve Disease of Rheumatic Origin

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dc.contributor.authorTopal, Askin Ender
dc.contributor.authorEren, Mehmet Nesimi
dc.contributor.authorCelik, Yusuf
dc.date.accessioned2024-04-24T17:11:37Z
dc.date.available2024-04-24T17:11:37Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractP>Background: The objective of this study was to evaluate the recovery of the left ventricle (LV) function, and to analyze postoperative size reduction of LV and left atrium (LA), after mitral valve replacement (MVR) in patients with chronic rheumatic mitral disease. Methods: Thirty consecutive elective patients with MVR for mixed mitral disease of rheumatic origin formed the study group. Of these, 21 (70%) were women and the mean age was 37 years. Transthoracic echocardiography was performed prior to surgery, at three-month follow-up, and at three-year follow-up except for the latest nine patients. Results: The mean duration of follow-up was 3.6 +/- 1.8 years. MVR surgery improved the functional class (mean New York Heart Association [NYHA] class) at three-year follow-up (p = 0.008). LV end-diastolic diameter and LA sizes decreased after MVR. Total chordal preservation causes better outcome, regarding to LV ejection fraction (LVEF) and NYHA functional class of patients. Preoperative high NYHA class, low LVEF, and high LV end-systolic diameter (LVESd) resulted with postoperative LV dysfunction (p were < 0.001, < 0.001, and 0.006, respectively). Conclusion: In patients with mixed mitral valve disease, MVR enhanced LV and LA remodeling resulting in better NYHA function. Preoperative NYHA, LVEF, and LVESd were significant predictors of postoperative LV function. (J Card Surg 2010;25:367-372).en_US
dc.identifier.doi10.1111/j.1540-8191.2010.01062.x
dc.identifier.endpage372en_US
dc.identifier.issn0886-0440
dc.identifier.issn1540-8191
dc.identifier.issue4en_US
dc.identifier.pmid20529156
dc.identifier.scopus2-s2.0-77954368583
dc.identifier.scopusqualityQ2
dc.identifier.startpage367en_US
dc.identifier.urihttps://doi.org/10.1111/j.1540-8191.2010.01062.x
dc.identifier.urihttps://hdl.handle.net/11468/17633
dc.identifier.volume25en_US
dc.identifier.wosWOS:000279447800001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Cardiac Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keyword]en_US
dc.titleLeft Ventricle and Left Atrium Remodeling after Mitral Valve Replacement in Case of Mixed Mitral Valve Disease of Rheumatic Originen_US
dc.titleLeft Ventricle and Left Atrium Remodeling after Mitral Valve Replacement in Case of Mixed Mitral Valve Disease of Rheumatic Origin
dc.typeArticleen_US

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