Title: Single Centre Experience of Mitral Valve Surgeries in the Young

Authors: Dr Sistla VPL Chandrakumar, Dr Khushwant Popli, Dr Kunwar Sidharth Saurabh, Dr Ridhika Munjal, Dr Anubhav Gupta

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.04

Abstract

Valvular heart disease is an important cause of morbidity and mortality worldwide. In India, Rheumatic heart disease is an important cause of valvular heart disease. We tried to analyse pattern of mitral valve disease and the surgeries we performed in individuals younger than 18 years presenting to our institute.

Methods: Retrospectively we analysed the data of patients aged less than 18 years, who underwent mitral valve surgeries in our institute between September 2017 to September 2018, with one year follow up. Analysed the data with respect to age, gender, type of valvular heart disease, if it is single or multiple valves that is affected, type of surgery- repair or replacement and immediate postoperative complications if any and during the follow up.

Results: Out of 24 patients, 22 underwent valve replacement. Two underwent valve repair successfully. One patient with failed repair had to undergo revision for valve replacement. Subset of the population we operated presented with severely diseased valves that prevented successful valve repair.

References

  1. SK Sharma, SH Verma, A clinical evaluation of atrial fibrillation in Rheumatic Heart Disease, Journal of The Association of Physicians of India, Vol 63, June 2015.
  2. Raghavendra Mariyamballi, Nalina Thimmappa et al, CORRELATION OF LEFT ATRIAL SIZE AND ATRIAL FIBRILLATION IN RHD WITH MITRAL VALVE DISEASE Evolution Med. Dent. Sci./ eISSN- 2278-4802, pISSN- 2278-4748/ vol.05/ issue 19/ Mar. 07, 2016
  3. Avinoam Shiran, MD, Alex Sagie, MD et al, Tricuspid Regurgitation in Mitral Valve Disease Incidence, Prognostic Implications, Mechanism, and Management, Journal of American College of Cardiology, Vol 53, No. 5, 2009
  4. Cheul Lee, Chang-Ha Lee et al, long term results of mitral valve repair in children, European Journal of Cardio-thoracic Surgery 37 (2010) 267—272
  5. Azhari Yakub, Sivakumar Sivalingam et al, Mitral Valve Repair for Congenital Mitral Valve Disease: Impact of The Use Of A Biodegradable Annuloplasty Ring, Ann of Thoracic Surgery 2015;99:884-90
  6. Ander Regueiro MD, Juan F. Granada et al, Transcatheter Mitral Valve Replacement, Journal of The American college of Cardiology, Vol. 69, No.17, 2017.

Corresponding Author

Dr Khushwant Popli

Assistant Professor, CTVS, VMMC & SJH, Delhi, India