ArticleJournal of thoracic disease2019
Repair versus replacement of mitral valves in cases of severe rheumatic mitral stenosis: mid-term clinical outcomes.
Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Factors associated with recurrence of mitral regurgitation 14 days after rheumatic mitral valve repair.Frontiers in cardiovascular medicine · 2026Article
- Assessment of the mitral valve with cardiac CT may improve preoperative stratification of patients with rheumatic heart disease.European radiology · 2024Article
- Clinical Outcome of Rheumatic Mitral Valve Repair and Replacement Surgery in Indonesia; A Comparison with Non-Rheumatic Aetiology.Global heart · 2024Article
- Predictors of Outcome in Patients with Pulmonary Hypertension Undergoing Mitral and Tricuspid Valve Surgery.Medicina (Kaunas, Lithuania) · 2023Observational
- Short and mid-term effects of modified release technique in rheumatic mitral valve repair.Journal of cardiothoracic surgery · 2023Article
- Mechanical versus Bioprosthetic Aortic Valve Replacement in Middle-Aged Adults: A Systematic Review and Meta-Analysis.Journal of cardiovascular development and disease · 2023Review
- A Novel Rheumatic Mitral Valve Disease Model with Ex Vivo Hemodynamic and Biomechanical Validation.Cardiovascular engineering and technology · 2023Article
- Clinico-pathological classification of rheumatic mitral valve damage and surgical strategy.Journal of thoracic disease · 2021Article
- Clinical outcomes following surgical mitral valve repair or replacement in patients with rheumatic heart disease: a meta-analysis.Annals of translational medicine · 2021Article
- Altered Expression of Transfer-RNA-Derived Small RNAs in Human With Rheumatic Heart Disease.Frontiers in cardiovascular medicine · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe compared and analyzed differences between repair vs. replacement of mitral valves on severe rheumatic mitral stenosis by looking at mid-term clinical outcomes.
methodsPatients with severe rheumatic mitral stenosis (mitral valve area ≤1.5 cm
resultsA total of 921 patients were recruited (221 in MVP and 700 in MVR). After a propensity score matching, 216 cases were selected with 108 patients in each group. With a follow-up period of 3 months to 7.1 years, the incidence of heart failure was observed to be significantly higher in the MVR group than in the MVP group (P<0.05). Echocardiographic speckle tracking imaging analysis showed that left ventricular longitudinal strain decreased in the MVR group, suggesting that a change of cardiac structure may affect the cardiac function.
conclusionsSelecting suitable patients for mitral valve repair is feasible even for patients with severe rheumatic mitral stenosis. In our study, compared with prosthetic valve replacement in these patients, valve repair still significantly reduced the valve-related complications rates and improved the quality of life during the follow-up.
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