Mitral valve repair versus replacement in the elderly: Short-term and long-term outcomes

Objective To compare the short-term and long-term outcomes of mitral valve repair (MVP) versus mitral valve replacement (MVR) in elderly patients. Methods All patients, age 70 years or greater, with mitral regurgitation who underwent MVP or MVR with or without coronary artery bypass graft (CABG), tr...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2014-10, Vol.148 (4), p.1400-1406
Hauptverfasser:	Gaur, Puja, MD, Kaneko, Tsuyoshi, MD, McGurk, Siobhan, BS, Rawn, James D., MD, Maloney, Ann, BS, Cohn, Lawrence H., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Cardiac Surgical Procedures - methods Cardiac Surgical Procedures - mortality Cardiothoracic Surgery Coronary Artery Bypass Female Heart Valve Prosthesis Heart Valve Prosthesis Implantation Humans Male Mitral Valve - surgery Mitral Valve Insufficiency - mortality Mitral Valve Insufficiency - surgery Retrospective Studies Sternotomy Survival Rate Treatment Outcome
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Zusammenfassung:	Objective To compare the short-term and long-term outcomes of mitral valve repair (MVP) versus mitral valve replacement (MVR) in elderly patients. Methods All patients, age 70 years or greater, with mitral regurgitation who underwent MVP or MVR with or without coronary artery bypass graft (CABG), tricuspid valve surgery, or a maze procedure between 2002 and 2011 were retrospectively identified. Patients with a rheumatic cause or who underwent concomitant aortic valve or ventricular-assist device procedures were excluded. Results Overall, 556 patients underwent MVP and 102 patients underwent MVR. The mean age of the patients in the MVR group was 78 years versus 77 years for those in the MVP group ( P
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2014.01.032