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Morphologic patterns in patients undergoing reoperation after repair of rheumatic mitral regurgitation

Authors
Journal
The American Journal of Cardiology
0002-9149
Publisher
Elsevier
Publication Date
Volume
71
Issue
5
Identifiers
DOI: 10.1016/0002-9149(93)90455-l
Disciplines
  • Medicine

Abstract

Abstract In young patients with rheumatic mitral regurgitation (MR), valve repair is more desirable than prosthetic valve replacement. This is particularly true in developing countries where anticoagulation with warfarin is difficult to monitor, and also in women of childbearing potential in whom warfarin is relatively contraindicated. The durability of repair in rheumatic MR may not be as good as in myxomatous disease. 1–4 The explanation for the less satisfactory results of repair in rheumatic than degenerative disease has not been clearly defined, but could be due to either a worse initial outcome owing to extensive valvular disease, or to ongoing rheumatic activity that damages an initially good result. This study examines retrospectively the morphologic patterns present in patients undergoing mitral valve repair and subsequent reoperation for recurrent or ongoing valve dysfunction.

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