Mitral stenosis surgery outcomes and prognosis: Difference between revisions
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__NOTOC__ | |||
{{Mitral stenosis surgery}} | {{Mitral stenosis surgery}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]] [mailto:msbeih@ | {{CMG}}; '''Associate Editor-In-Chief:''' [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]] [mailto:msbeih@wikidoc.org] | ||
== | ==Overview== | ||
The results of mitral valve stenosis surgery are excellent in centers that regularly perform this surgery. | The results of mitral valve stenosis surgery are excellent in centers that regularly perform this surgery. | ||
Techniques for minimally invasive heart valve surgery have improved greatly over the past 10 years. These techniques are safe for most patients, and they reduce recovery time and pain. | ==Outcomes and Prognosis== | ||
Techniques for [[minimally invasive]] heart valve surgery have improved greatly over the past 10 years. These techniques are safe for most patients, and they reduce recovery time and pain. | |||
* Results of the commissurotomy should be assessed with hemodynamics and echocardiography. | * Results of the commissurotomy should be assessed with [[hemodynamics]] and [[echocardiography]]. | ||
* If second inflation is needed mitral regurgitation should be assessed. | * If second inflation is needed [[mitral regurgitation]] should be assessed. | ||
* In general increasing valve area to greater than 1 cm2/m2 is an acceptable result. | * In general increasing valve area to greater than 1 cm2/m2 is an acceptable result. | ||
* Usually the valve area doubles and the pulmonary pressures degrease immediately. | * Usually the valve area doubles and the pulmonary pressures degrease immediately. | ||
* 5 year survival is in the 90% range. | * 5 year survival is in the 90% range. | ||
=== Mechanical Versus Biological Valves === | |||
Mechanical heart valves do not fail often. They last from 12 to 20 years. However, blood clots develop on them. If a blood clot forms, the patient may have a stroke. Bleeding can occur, but this is rare. | *[[Mechanical heart valves]] do not fail often. They last from 12 to 20 years. However, blood clots develop on them. If a blood clot forms, the patient may have a [[stroke]]. Bleeding can occur, but this is rare. | ||
[[Biological]] valves tend to fail over time <ref name="pmid8469251">{{cite journal| author=Hammermeister KE, Sethi GK, Henderson WG, Oprian C, Kim T, Rahimtoola S| title=A comparison of outcomes in men 11 years after heart-valve replacement with a mechanical valve or bioprosthesis. Veterans Affairs Cooperative Study on Valvular Heart Disease. | journal=N Engl J Med | year= 1993 | volume= 328 | issue= 18 | pages= 1289-96 | pmid=8469251 | doi=10.1056/NEJM199305063281801 | pmc= | url= }} </ref><ref name="pmid11028464">{{cite journal| author=Hammermeister K, Sethi GK, Henderson WG, Grover FL, Oprian C, Rahimtoola SH| title=Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial. | journal=J Am Coll Cardiol | year= 2000 | volume= 36 | issue= 4 | pages= 1152-8 | pmid=11028464 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11028464 }} </ref> | *[[Biological]] valves tend to fail over time,<ref name="pmid8469251">{{cite journal| author=Hammermeister KE, Sethi GK, Henderson WG, Oprian C, Kim T, Rahimtoola S| title=A comparison of outcomes in men 11 years after heart-valve replacement with a mechanical valve or bioprosthesis. Veterans Affairs Cooperative Study on Valvular Heart Disease. | journal=N Engl J Med | year= 1993 | volume= 328 | issue= 18 | pages= 1289-96 | pmid=8469251 | doi=10.1056/NEJM199305063281801 | pmc= | url= }} </ref><ref name="pmid11028464">{{cite journal| author=Hammermeister K, Sethi GK, Henderson WG, Grover FL, Oprian C, Rahimtoola SH| title=Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial. | journal=J Am Coll Cardiol | year= 2000 | volume= 36 | issue= 4 | pages= 1152-8 | pmid=11028464 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11028464 }} </ref> but they have a lower risk of blood clots. | ||
==References== | ==References== | ||
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[[Category:Cardiac surgery]] | [[Category:Cardiac surgery]] | ||
[[Category:Surgical procedures]] | [[Category:Surgical procedures]] | ||
[[Category:For review]] | [[Category:For review]] | ||
[[Category:Valvular heart disease]] | [[Category:Valvular heart disease]] | ||
[[Category:Up-To-Date cardiology]] | |||
[[Category:Up-To-Date]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 22:47, 1 February 2013
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Mitral stenosis surgery | |
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Treatment | |
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Mitral stenosis surgery outcomes and prognosis On the Web | |
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American Roentgen Ray Society Images of Mitral stenosis surgery outcomes and prognosis | |
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Risk calculators and risk factors for Mitral stenosis surgery outcomes and prognosis | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]
Overview
The results of mitral valve stenosis surgery are excellent in centers that regularly perform this surgery.
Outcomes and Prognosis
Techniques for minimally invasive heart valve surgery have improved greatly over the past 10 years. These techniques are safe for most patients, and they reduce recovery time and pain.
- Results of the commissurotomy should be assessed with hemodynamics and echocardiography.
- If second inflation is needed mitral regurgitation should be assessed.
- In general increasing valve area to greater than 1 cm2/m2 is an acceptable result.
- Usually the valve area doubles and the pulmonary pressures degrease immediately.
- 5 year survival is in the 90% range.
Mechanical Versus Biological Valves
- Mechanical heart valves do not fail often. They last from 12 to 20 years. However, blood clots develop on them. If a blood clot forms, the patient may have a stroke. Bleeding can occur, but this is rare.
- Biological valves tend to fail over time,[1][2] but they have a lower risk of blood clots.
References
- ↑ Hammermeister KE, Sethi GK, Henderson WG, Oprian C, Kim T, Rahimtoola S (1993). "A comparison of outcomes in men 11 years after heart-valve replacement with a mechanical valve or bioprosthesis. Veterans Affairs Cooperative Study on Valvular Heart Disease". N Engl J Med. 328 (18): 1289–96. doi:10.1056/NEJM199305063281801. PMID 8469251.
- ↑ Hammermeister K, Sethi GK, Henderson WG, Grover FL, Oprian C, Rahimtoola SH (2000). "Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial". J Am Coll Cardiol. 36 (4): 1152–8. PMID 11028464.