Professional paper

Is Mitral Valve Repair Safe Procedure in Elderly Patients?

Igor Medved ; Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia
Darko Anić ; Department of Cardiac Surgery, University Hospital Zagreb, Zagreb, Croatia
Marin Oštrić ; Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia
Boris Zrnić ; Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia
Aldo Ivančić ; Department of Thoracic and Vascular Surgery, University Hospital Rijeka, Rijeka, Croatia
Vjekoslav Tomulić ; Department of Cardiology, University Hospital Rijeka, Rijeka, Croatia

Abstract

The aim of this randomized, prospective, study was to evaluate postoperative hospital mortality and morbidity after mitral valve repair by comparing two surgical techniques for resolving mitral valve insufficiency in elderly patients. In comparison were: mitral valve repair vs. mitral valve replacement in patients older than 70 years. In period from January 1st 2006 until August 30th 2009. Eighty patients with mitral valve disease, isolated or associated with other co morbidities, were scheduled for mitral valve repair or mitral valve replacement in our institution. Patients were randomized in two groups, one scheduled for mitral valve repair and another one for mitral valve replacement using the envelope method with random numbers. Results show no difference in hospital mortality and morbidity postoperatively in both groups. In group undergoing valve replacement we had one significant complication of ventricle rupture in emphatically calcified posterior part of mitral valve annulus. In conclusion we found no distinction in postoperative hospital mortality and morbidity after using one of two surgical techniques.

Keywords

mitral valve disease; repair; replacement; elderly patients

Hrčak ID:

51661

URI

https://hrcak.srce.hr/51661

Publication date:

20.4.2010.

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