1887
Volume 2015, Issue 1
  • ISSN: 2305-7823
  • E-ISSN:

Abstract

In developing countries, rheumatic fever and carditis still constitutes a major public health problem. Patients have special characteristics that differ from those with rheumatic mitral valve disease we still see in developed countries. They are usually young, poor, uneducated, and have low compliance to prophylaxis / therapy. In addition, they usually have great difficulty in accessing medical care. In these situations, the rate of complications associated to valve replacement is significantly increased. Alternatively, mitral valve repair is now known to achieve better long-term results in this pathology, but this was not widely recognized three or four decades ago, when first reports showed worse results after repair of rheumatic regurgitation than with degenerative valves. This has been reported by several groups in developing countries in different continents, with high incidence of repairs and excellent long term results. It is, therefore, becoming increasingly clear that, although, the results may not compare to those obtained with degenerative pathology, repair of rheumatic valves, when feasible, is the procedure of choice, especially in these underprivileged populations.

Loading

Article metrics loading...

/content/journals/10.5339/gcsp.2015.9
2015-04-23
2019-12-14
Loading full text...

Full text loading...

/deliver/fulltext/gcsp/2015/1/gcsp.2015.9.html?itemId=/content/journals/10.5339/gcsp.2015.9&mimeType=html&fmt=ahah

References

  1. Nkomo VT. Epidemiology and prevention of valvular heart diseases and infective endocarditis in Africa. Heart. 2007; 93::15101519.
    [Google Scholar]
  2. Antunes MJ, Wessels A, Sadowski RJ, Schutz JG, Vanderdonck KM, Oliveira JM, Fernandes LE. Medtronic Hall valve replacement in a third world population group. A review of the performance of 1,000 valves. J Thorac Cardiovasc Surg. 1988; 95::98093.
    [Google Scholar]
  3. Antunes MJ, Santos LP. Performance of glutaraldehyde-preserved porcine bioprosthesis as a mitral valve substitute in a young population group. Ann Thorac Surg. 1984; 37::387392.
    [Google Scholar]
  4. Antunes MJ, Magalhães MP. Colsen PR, Kinsley RH. Valvuloplasty for rheumatic mitral valve disease. A surgical challenge. J Thorac Cardiovasc Surg. 1987; 94::4456.
    [Google Scholar]
  5. Hueb AC, Jatene FB, Moreira LF, Pomerantzeff PM, Kallas E, de Oliveira SA. Ventricular remodeling and mitral valve modifications in dilated cardiomyopathy: new insights from anatomic study. J Thorac Cardiovasc Surg. 2002; 124::1216.
    [Google Scholar]
  6. Antunes MJ, Vieira H, de Oliveira JF. Open mitral commissurotomy: the “golden standard”. J Heart Valve Dis. 2000; 9::472477.
    [Google Scholar]
  7. Di Bardino DJ, El Bardissi AW, McClure RS, Razo-Vasquez OA, Kelly NE, Cohn LH. Four decades of experience with mitral valve repair: analysis of differential indications, technical evolution, and long-term outcome. J Thorac Cardiovasc Surg. 2010; 139::7684.
    [Google Scholar]
  8. Antunes MJ. Repair of rheumatic mitral valve regurgitation: how far can we go? Eur J Cardio-thorac Surg. 2013; 44::689691.
    [Google Scholar]
  9. Wang YC, Tsai FC, Chu JJ, Lin PJ. Midterm Outcomes of Rheumatic Mitral Repair Versus Replacement. Int Heart J. 2008; 49::565576.
    [Google Scholar]
  10. Talwar S, Rajesh MR, Subramanian A, Saxena A, Kumar AS. Mitral valve repair in children with rheumatic heart disease. J Thorac Cardiovasc Surg. 2005; 129::875879.
    [Google Scholar]
  11. Gammie JS, Sheng S, Griffith BP, Peterson ED, Rankin JS, O'Brien SM, Brown JM. Trends in mitral valve surgery in the United States: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg. 2009; 87::14311437.
    [Google Scholar]
  12. Carpentier A. Cardiac valve surgery–the “French correction”. J Thorac Cardiovasc Surg. 1983; 86::323337.
    [Google Scholar]
  13. Frater RWM, Gabbay S, Shore D, Factor S, Strom J. Reproducible replacement of elongated or ruptured mitral valve chordae. Ann Thorac Surg. 1983; 35::14.
    [Google Scholar]
  14. Bortolotti U, Milano AD, Frater RW. Mitral valve repair with artificial chordae: a review of its history, technical details, long-term results, and pathology. Ann Thorac Surg. 2012; 93::684691.
    [Google Scholar]
  15. Salvador L, Mirone S, Bianchini R, Regesta T, Patelli F, Minniti G, Masat M, Cavarretta E, Valfrè C. A 20-year experience with mitral valve repair with artificial chordae in 608 patients. J Thorac Cardiovasc Surg. 2008; 135::12801287.
    [Google Scholar]
  16. Coutinho GF, Carvalho L, Antunes MJ. Acute mitral regurgitation due to ruptured ePTFE neo-chordae. J Heart Valve Dis. 2007; 16::278281.
    [Google Scholar]
  17. Zussa C, Frater RW, Polesel E, Galloni M, Valfré C. Artificial mitral valve chordae: experimental and clinical experience. Ann Thorac Surg. 1990; 50::367373.
    [Google Scholar]
  18. Zegdi R, Khabbaz Z, Chauvaud S, Latremouille C, Fabiani JN, Deloche A. Posterior leaflet extension with an autologous pericardial patch in rheumatic mitral insufficiency. Ann Thorac Surg. 2007; 84::10431044.
    [Google Scholar]
  19. Dillon J, Yakub MA, Nordin MN, Kong PK, Moorthy PSK. Leaflet extension in rheumatic mitral valve reconstruction. Eur J Cardiothorac Surg. 2013; 44::682689.
    [Google Scholar]
  20. Kumar AS, Rao PN, Saxena A. Results of mitral valve reconstruction in children with rheumatic heart disease. Ann Thorac Surg. 1995; 60::10441047.
    [Google Scholar]
  21. Severino ES, Petrucci O, Vilarinho KA, Lavagnoli CF, Silveira Filho Lda M, Oliveira PP, Vieira RW, Braile DM. Late outcomes of mitral repair in rheumatic patients. Rev Bras Cir Cardiovasc. 2011; 26::559564.
    [Google Scholar]
  22. Remenyi B, Webb R, Gentles T, Russell P, Finucane K, Lee M, Wilson N. Improved long-term survival for rheumatic mitral valve repair compared to replacement in the young. World J Pediatr Congenit Heart Surg. 2013; 4::155164.
    [Google Scholar]
  23. Kumar AS. Surgical options in rheumatic mitral valve disease in children. A surgeon's perspective. World J Ped Congenit Heart Surg. 2014; 5::180184.
    [Google Scholar]
  24. Antunes MJ. Valve repair for rheumatic mitral regurgitation: still worthwhile? J Heart Valve Dis. 2011; 20::254256.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/gcsp.2015.9
Loading
/content/journals/10.5339/gcsp.2015.9
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): developing countries , mitral valvuloplasty and rheumatic carditis
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error