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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

TECHNIQUES AND RESULTS OF MITRAL VALVE REPAIR AT THE CARDIAC SURGERY CLINIC OF THE UNIVERSITY CLINICAL CENTRE IN SARAJEVO
S. Pandur, V. Velebit, J. Maurice, I. Pezo, H. Vila, M. Kulić, F. Kučukalić, S. Straus, E. Đonlić, E. Mujičić and I. Haxhibeqiri-Karabdić
Cardiac Surgery Clinic, Clinical Center University of Sarajevo, Bosnia and Herzegovina

In developed world countries, reconstruction of the mitral valve (MV) represents up to 90% of procedures for treating the mitral regurgitation. It is the procedure of choice for degenerative MV disease, giving better haemodynamics, less thromboembolic complications and better immediate and late survival in comparison to MV replacement. We have fewer indications for such procedure when having in mind high incidence of rheumatic heart diseases in Bosnia, where such repair is more difficult. Patients and procedures: in the period between October 1998 and March 2001, we performed 16 mitral repairs (PPP 22,8% of all mitral operations). Mean age was 50,3 years, and there were 6 males and 10 females. Aetiology of mitral regurgitation was rheumatic (6), degenerative (5), congenital (3), ischaemic (2). The operative technique for repair was adapted to the mechanism of regurgitation discovered on direct examination of the valve at surgery. Annuloplasty with the synthetic ring was used in 75%, quadrangular resection of the posterior leaflet in 4 cases (25%9, comissurotomy in 2 cases (12,5%), plication of anterior cusp in 1 (6,25%), mitral cleft repair in 2 cases (12,5%) and Alfieri technique in one case. Per-operative transesophageal echocardiography was performed in 10 cases (62%) cases. In immediate and long-term period patients were followed up by clinical observation and transthoracic echo. Results: One patient who had isheamic heart disease and mitral regurgitation died during the operation. All other patients survived with satisfactory post-operative mitral valve function. No patients have been reoperated for late failure. We have had no thromboembolic events and no postoperative infections. Conclusion: Mitral valve repair has been a successful and useful procedure in our limited experience.

 

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Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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