Mitral Valve Repair – Single Centre experience with 5 year follow up study of operated patients.
Presented During: Moderated E-Posters
UN MEHTA INSTITUTE OF CARDIOLOGY AHMEDABAD
Navsari, Gujarat
India - Contact Me
I am Dr Joshi Aakash Dinesh , presently working in Sree Chithra tirunal institute of medical science ,Kerala which is the only institute of national importance,
I have been a keen enthusiast for Cardiac surgery ,
I have been also working with TSRA ,thoracic surgery resident association - global ,and Presently appointed as the Deputy Chair .
Thursday, May 4, 2023: 6:30 PM - Friday, May 5, 2023: 6:30 PM
New York Hilton Midtown
Room: Grand Ballroom Foyer
Description
Title: Mitral Valve Repair – Single Centre experience with 5 year follow up study of operated patients
Objective:
•.To appraise the outcome of Mitral valve repair immediately post operatively and on follow up of patients for 5 years
•.To evaluate the number of Re interventions done following MV Repair.
• To evaluate quality of life of patient / Functional class post mitral valve repair.
• To compare outcome between Rigid and flexible prosthetic rings used for MV repair.
Methods:
Retrospective Observational study with Prospective follow up.
Results:
Pre-operative patient Characteristic revealed 62.2 % of patients were in NYHA Functional class II .81.88 % had severe MR IV + and were symptomatic.MV repair was done for Posterior leaflet prolapse which was for 49.6 % of patients, followed by 19.6 % for Bileaflet repair. 36.2% of patients had associated Moderate tricuspid regurgitation during pre-operative evaluation. Operated patients had a mean of 49 % LVEF pre MV Repair. Mean LVEDD was 60.57 mm and Mean LVESD was 35.93 mm among operated patients All patients underwent MV repair with Prosthetic ring annuloplasty. Triangular resection was the most preferred technique for posterior leaflet repair in 46.31 % of patients for posterior mitral leaflet .For anterior leaflet repair Neochordal reconstruction was the preferred technique in 93.7%.Post operatively 77.3 % of them were in NYHA Functional class I at the end of median follow up of 5 years. 90.4 % of patients showed no evidence of PAH during follow up.92.1 % of patients had mild MR during follow up period after 5 years of surgery. 2 patients underwent Redo MVR during immediate post op period due to persistence of Severe MR IV + post MV repair. Mean LVEF improved to 53 % in patients post MV repair and was preserved during follow up. Freedom from Re operation is at 98.45% in our study.1 patient suffered from CVA, who was receiving Anti coagulation for atrial fibrillation during follow up.62.2 % of patients underwent annuloplasty with flexible prosthetic ring and SJM Taylor prosthetic ring was the the preferred ring in 38.5 %, followed by Duran anncore prosthetic ring in 23.6 %. 37.7 % of patient's annuloplasty was done with rigid prosthetic ring and Physio II prosthetic ring was the most preferred ring in 18.1 % of patients.
Conclusion:
Mitral Valve repair is a procedure which gives long standing remedy ,if we follow the principles of repair regardless of type of annuloplasty.
Objective:
•.To appraise the outcome of Mitral valve repair immediately post operatively and on follow up of patients for 5 years
•.To evaluate the number of Re interventions done following MV Repair.
• To evaluate quality of life of patient / Functional class post mitral valve repair.
• To compare outcome between Rigid and flexible prosthetic rings used for MV repair.
Methods:
Retrospective Observational study with Prospective follow up.
Results:
Pre-operative patient Characteristic revealed 62.2 % of patients were in NYHA Functional class II .81.88 % had severe MR IV + and were symptomatic.MV repair was done for Posterior leaflet prolapse which was for 49.6 % of patients, followed by 19.6 % for Bileaflet repair. 36.2% of patients had associated Moderate tricuspid regurgitation during pre-operative evaluation. Operated patients had a mean of 49 % LVEF pre MV Repair. Mean LVEDD was 60.57 mm and Mean LVESD was 35.93 mm among operated patients All patients underwent MV repair with Prosthetic ring annuloplasty. Triangular resection was the most preferred technique for posterior leaflet repair in 46.31 % of patients for posterior mitral leaflet .For anterior leaflet repair Neochordal reconstruction was the preferred technique in 93.7%.Post operatively 77.3 % of them were in NYHA Functional class I at the end of median follow up of 5 years. 90.4 % of patients showed no evidence of PAH during follow up.92.1 % of patients had mild MR during follow up period after 5 years of surgery. 2 patients underwent Redo MVR during immediate post op period due to persistence of Severe MR IV + post MV repair. Mean LVEF improved to 53 % in patients post MV repair and was preserved during follow up. Freedom from Re operation is at 98.45% in our study.1 patient suffered from CVA, who was receiving Anti coagulation for atrial fibrillation during follow up.62.2 % of patients underwent annuloplasty with flexible prosthetic ring and SJM Taylor prosthetic ring was the the preferred ring in 38.5 %, followed by Duran anncore prosthetic ring in 23.6 %. 37.7 % of patient's annuloplasty was done with rigid prosthetic ring and Physio II prosthetic ring was the most preferred ring in 18.1 % of patients.
Conclusion:
Mitral Valve repair is a procedure which gives long standing remedy ,if we follow the principles of repair regardless of type of annuloplasty.