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EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR

Year 2014, Volume: 16 Issue: 2, 6 - 10, 01.07.2014

Abstract

Aim: The present study aimed to evaluate mid-term clinical and echocardiographic outcomesof the Alfieri edge-to-edge repair performed on patients with moderate to severe mitralregurgitation (MR).Methods: Thirty patients (mean age, 61.2±11.2 years; 18 males) with moderate to severe MRof different etiologies and a pulmonary artery pressure (PAP) of >40 mmHg who underwent aAlfieri repair between 2005 and 2011 were included. All patients were selected and followed bythe same surgical team and cardiologist. The Alfieri edge-to-edge repair with ring annuloplastywas performed. The patients were postoperatively evaluated in terms of degree of MR, functionalcapacity according to the New York Heart Association (NYHA) classification, PAP, left atrialdiameter (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 significantlybetter as compared to the preoperative values (p

References

  • Akar AR, Doukas G, Szafranek A, et al. Mitral valve repair and revascularization for ischemic mitral regurgitation: predictors of operative mortality and survival. J Heart Valve Dis 2002 ;11:793-801.
  • Akar AR, Durdu S, Khalil A, Ozyurda U. İskemik mitral yetmezliği (Ischemic mitral regurgitation). Türkiye Klinikleri J Cardiovasc Surg-Special Topics 2008;1:37-46.
  • Bhudia SK, McCarthy PM, Smedira NG, et al.Edge-to-edge (Alfieri) mitral repair: results in diverse clinical settings. Ann Thorac Surg 2004;77:1598-606.
  • Bonow RO, Carabello BA, Chatterjee K. Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. J. Am. Coll. Cardiol. 2008;52;e1-e142.
  • Carpentier A, Adams DH, Filsoufi F. Carpentier’s Reconstructive Valve Surgery. From Valve Analysis to Valve Reconstruction .İmprint of Elsevier . Missouri .Year Book: Chapter 10 pp: 95-110, 2010.
  • Cohn LH, Rizzo RJ, Adams DH, et al. The effect of pathophysiology on the surgical treatment of ischemic mitral regurgitation: operative and late risks of repair versus replacement. Eur J Cardiothorac Surg 1995; 9:568-74.
  • Crescenzi G, Landoni G, Zangrillo A, et al. Management and decision-making strategy for systolic anterior motion after mitral valve repair. J Thorac Cardiovasc Surg 2009;137:320- 5.
  • Filsoufi F, CarpentierA. Systolic anterior motion of the mitral valve. J Thorac Cardiovasc Surg 2007;134:265-6.
  • Gammie JS, Sheng S, Griffith BP, et al. Trends in mitral valve surgery in the United States: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg 2009;87:1431-7.
  • Jokinen JJ, Hippeläinen MJ, Pitkänen OA, Hartikainen JE. Mitral valve replacement versus repair: propensity-adjusted survival quality-of-life analysis. Ann Thorac Surg 2007;84:451-8.
  • Maslow AD, Regan MM, Haering JM, Johnson RG, Levine RA. Echocardiographic predictors of left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve after mitral valve reconstruction for myxomatous valve disease. J Am Coll Cardiol 1999;34:2096-104.
  • Savage EB, Ferguson TB Jr, DiSesa VJ. Use of mitral valve repair: analysis of contemporary United States experience reported to the Society of Thoracic Surgeons National Cardiac Database. Ann Thorac Surg 2003;75:820-5.
  • Seeburger J, Borger MA, Falk V, et al. Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. Eur J Cardiothorac Surg 2008;34:760-5.

Alfieri (Uç-uca) Mitral Kapak Tamirinin Orta Dönem Ekokardiografik ve Klinik Sonuçlarının Değerlendirilmesi

Year 2014, Volume: 16 Issue: 2, 6 - 10, 01.07.2014

Abstract

Amaç: Bu çalışmamızda alfieri prosedürü (edge-to-edge) uygulanmış orta –ileri mitralyetmezlikli hastalarda orta dönem klinik ve ekokardiografik sonuçları değerlendirildi. Yöntem: 2005-2011 yılları arasında alfieri (edge-to-edge) tamir uygulanan ,farklı etyolojiyesahip orta ve ileri mitral yetmezliği olan ,pulmoner arter basıncı 40 mmhg ustunde bulunan 30hasta (yaş ortalamaları 61,2±11,2 yıl olan 12 kadın, 18 erkek ) çalışmaya dahil edildi.Tümhastalar aynı cerrahi ekip ve kardiolog tarafından seçilmiş ve takip edilmiştir. Tüm hastalaraalfieri (edge-to-edge) onarım yapılarak hepsinde ring implantasyonu eklendi.Hastalarpostoperatif olarak ; mitral yetmezliğin derecesi,NYHA fonksiyonel kapasite,pulmoner arterbasıncları,sol atrıal boyut,atrıal fibrilasyon,ejeksiyon fraksiyonu,fonksiyonel mitral stenoz,riski,etyolojık değişkenler ile mortalite açısından karşılaştırıldı.Bulgular: Çalışmaya dahil edilen hastaların NYHA, MY ve LAD postoperatif değerleripreoperatif değerlerinden istatistiksel anlamlı düşüktü .(p

References

  • Akar AR, Doukas G, Szafranek A, et al. Mitral valve repair and revascularization for ischemic mitral regurgitation: predictors of operative mortality and survival. J Heart Valve Dis 2002 ;11:793-801.
  • Akar AR, Durdu S, Khalil A, Ozyurda U. İskemik mitral yetmezliği (Ischemic mitral regurgitation). Türkiye Klinikleri J Cardiovasc Surg-Special Topics 2008;1:37-46.
  • Bhudia SK, McCarthy PM, Smedira NG, et al.Edge-to-edge (Alfieri) mitral repair: results in diverse clinical settings. Ann Thorac Surg 2004;77:1598-606.
  • Bonow RO, Carabello BA, Chatterjee K. Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. J. Am. Coll. Cardiol. 2008;52;e1-e142.
  • Carpentier A, Adams DH, Filsoufi F. Carpentier’s Reconstructive Valve Surgery. From Valve Analysis to Valve Reconstruction .İmprint of Elsevier . Missouri .Year Book: Chapter 10 pp: 95-110, 2010.
  • Cohn LH, Rizzo RJ, Adams DH, et al. The effect of pathophysiology on the surgical treatment of ischemic mitral regurgitation: operative and late risks of repair versus replacement. Eur J Cardiothorac Surg 1995; 9:568-74.
  • Crescenzi G, Landoni G, Zangrillo A, et al. Management and decision-making strategy for systolic anterior motion after mitral valve repair. J Thorac Cardiovasc Surg 2009;137:320- 5.
  • Filsoufi F, CarpentierA. Systolic anterior motion of the mitral valve. J Thorac Cardiovasc Surg 2007;134:265-6.
  • Gammie JS, Sheng S, Griffith BP, et al. Trends in mitral valve surgery in the United States: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg 2009;87:1431-7.
  • Jokinen JJ, Hippeläinen MJ, Pitkänen OA, Hartikainen JE. Mitral valve replacement versus repair: propensity-adjusted survival quality-of-life analysis. Ann Thorac Surg 2007;84:451-8.
  • Maslow AD, Regan MM, Haering JM, Johnson RG, Levine RA. Echocardiographic predictors of left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve after mitral valve reconstruction for myxomatous valve disease. J Am Coll Cardiol 1999;34:2096-104.
  • Savage EB, Ferguson TB Jr, DiSesa VJ. Use of mitral valve repair: analysis of contemporary United States experience reported to the Society of Thoracic Surgeons National Cardiac Database. Ann Thorac Surg 2003;75:820-5.
  • Seeburger J, Borger MA, Falk V, et al. Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. Eur J Cardiothorac Surg 2008;34:760-5.
There are 13 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Ahmet Bollukçu This is me

Ufuk Çiloğlu This is me

Şebnem Alibeyoğlu This is me

Sabri Dağsalı This is me

Ekin İlkeli This is me

Publication Date July 1, 2014
Published in Issue Year 2014 Volume: 16 Issue: 2

Cite

APA Bollukçu, A., Çiloğlu, U., Alibeyoğlu, Ş., Dağsalı, S., et al. (2014). EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR. Duzce Medical Journal, 16(2), 6-10.
AMA Bollukçu A, Çiloğlu U, Alibeyoğlu Ş, Dağsalı S, İlkeli E. EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR. Duzce Med J. July 2014;16(2):6-10.
Chicago Bollukçu, Ahmet, Ufuk Çiloğlu, Şebnem Alibeyoğlu, Sabri Dağsalı, and Ekin İlkeli. “EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR”. Duzce Medical Journal 16, no. 2 (July 2014): 6-10.
EndNote Bollukçu A, Çiloğlu U, Alibeyoğlu Ş, Dağsalı S, İlkeli E (July 1, 2014) EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR. Duzce Medical Journal 16 2 6–10.
IEEE A. Bollukçu, U. Çiloğlu, Ş. Alibeyoğlu, S. Dağsalı, and E. İlkeli, “EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR”, Duzce Med J, vol. 16, no. 2, pp. 6–10, 2014.
ISNAD Bollukçu, Ahmet et al. “EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR”. Duzce Medical Journal 16/2 (July 2014), 6-10.
JAMA Bollukçu A, Çiloğlu U, Alibeyoğlu Ş, Dağsalı S, İlkeli E. EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR. Duzce Med J. 2014;16:6–10.
MLA Bollukçu, Ahmet et al. “EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR”. Duzce Medical Journal, vol. 16, no. 2, 2014, pp. 6-10.
Vancouver Bollukçu A, Çiloğlu U, Alibeyoğlu Ş, Dağsalı S, İlkeli E. EVALUATION OF MID-TERM CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF ALFIERI (EDGE-TO-EDGE) MITRAL VALVE REPAIR. Duzce Med J. 2014;16(2):6-10.