ASSESSMENT THE CLINICAL AND SUBCLINICAL IN PATIENTS WHO UNDERWENT MICHANICAL MITRL VALVE REPLACEMENT WITH POSTERIOR LEAFLET PRESERVATION AT HUE CENTER HOSPITAL

Trần Thanh Bình1,, Bùi Đức Phú2, Đặng Ngọc Hùng1
1 Military Hospital 103, Vietnam Military Medical University
2 Hue Central Hospital

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Abstract

Objectives: Evaluation of the clinical and subclinical charateristics of mitral valve patients who underwent mitral valve replacement with posterior leaflet preservation. Subjects and methods: This prospective study was carried out in patients with mitral valve disease who underwent mitral valve replacement at Hue Center Hospital between March 2015 and September 2016. Results: Of 87 patients, mean of age was 46.9 ± 9.4 years and 72.4% were female. 43.7% of patients were NYHA II and 52.9% were NYHA III. The main clinical symptoms were dyspnea (82.8%), and chestpain (64.4%). 85.5% of patients had a cardiothoracic ratio > 50%. The intraoperatively findings of mitral leaflet lesions were thickened leaflets (89.7%); fused commissures (80.5%). 6.8% of patients had concomitant severe tricuspid regurgitation. Conclusions: Patients with mitral valve disease undergoing mechanical mitral valve replacement with posterior leaflet preservation were usually admitted to the hospital in the states of symptomatic heart failure, left atrial enlargement, pulmonary hypertension, and a high rate of atrial fibrillation.

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References

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