TY  - JOUR
AU  - Jiao, Yuqing
AU  - Luo, Tiange
AU  - Zhang, Haibo
AU  - Han, Jie
AU  - Li, Yan
AU  - Jia, Yixin
AU  - Zheng, Shuai
AU  - Meng, Xu
PY  - 2019
TI  - Repair versus replacement of mitral valves in cases of severe rheumatic mitral stenosis: mid-term clinical outcomes
JF  - Journal of Thoracic Disease; Vol 11, No 9 (September 30, 2019): Journal of Thoracic Disease
Y2  - 2019
KW  - 
N2  - Background: We compared and analyzed differences between repair vs. replacement of mitral valves on severe rheumatic mitral stenosis by looking at mid-term clinical outcomes.  Methods: Patients with severe rheumatic mitral stenosis (mitral valve area ≤1.5 cm2, with or without mitral valve regurgitation) from January 2011 to September 2017 were divided into two groups: a mitral valve repair group (MVP) and a mitral valve replacement group (MVR). After propensity score matching between the two groups, we compared changes in post-operation clinical outcomes. We also monitored changes in left ventricular longitudinal and circumferential strain in successfully matched patients (20 pairs) by echocardiography speckle tracing.   Results: A 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
UR  - https://jtd.amegroups.org/article/view/31473