Routine coronary arteriography before abdominal aortic aneurysm repair

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dc.authorid29382en_US
dc.authorid9608en_US
dc.authorid33009en_US
dc.authorid240670en_US
dc.contributor.authorBayazıt, Murat
dc.contributor.authorGöl, Kamil
dc.contributor.authorBattaloğlu, Bektaş
dc.contributor.authorTokmakoğlu, Hilmi
dc.contributor.authorTaşdemir, Oğuz
dc.contributor.authorBayazıt, Kemal
dc.date.accessioned2017-10-30T07:46:01Z
dc.date.available2017-10-30T07:46:01Z
dc.date.issued1995
dc.departmentİnönü Üniversitesien_US
dc.descriptionAmerican Journal of Surgery, 170, 246–250.en_US
dc.description.abstractBACKGROUND AND AIMS OF THE STUDY: It is commonly held that preservation of the annulo-ventricular continuity during mitral valve replacement has a beneficial effect on postoperative ventricular function. This paper presents our eight-year experience with this technique. MATERIALS AND METHODS: From 1986 to December 1992, 120 patients with rheumatic valve disease underwent mitral valve replacement (MVR) combined with preservation of the posterior leaflet of the mitral valve. The mean age was 33.87 years (range 16 to 63). The preoperative New York Heart Association (NYHA) class was III in 64% of the patients and IV in 3%. The early (30 day) mortality rate was 2.5% (3/120). Follow up was 100% complete. The total cumulative follow up was 477 patient-years (pty) with a mean 3.94 years (range: 2-8 years). RESULTS: The actuarial survival rate (including hospital mortality) was 87.6% at eight years. Advanced age (p = 0.0457), increased preoperative functional capacity (p = 0.0251), increased preoperative end-systolic diameter (p = 0.0352) and combined tricuspid reconstruction (p = 0.0001) were found to be independent parameters for a lower actuarial survival rate. Six patients (1.25%/pty) developed thromboembolic complications. Two of these were cerebrovascular accidents (0.41%/pty) and four were caused by mechanical valve thrombosis (1.83%/pty). Freedom from thromboembolic complications (including mechanical valve thrombosis) was 89.8% +/- 7.9%. Fifteen patients (3.14%/pty) developed valve failure, four (0.83%/pty) mechanical valve thrombosis and nine (1.88%/pty) bioprosthetic valve failure. Freedom from reoperation was 60.7% +/- 16.1%. One patient with a St. Jude Medical valve (0.2%/pty) suffered from prosthetic valve endocarditis. Three patients (0.62%/pty) died during the follow up period, and, freedom from all valve related complications was 51.4% +/- 16.1% at eight years. CONCLUSION: Preservation of the posterior leaflet during mitral valve replacement reduces the risk of early mortality and did not cause additional complications to the patients. Despite the beneficial effects of this technique in the long term this technique did not increase the long term survival in patients with associated impaired valvular and/or ventricular function.en_US
dc.identifier.citationMurat, B., Göl, K., BATTALOĞLU, B., Hilmi, T., Oğuz, T., & Kemal, B. (1995). Routine Coronary Arteriography Before Abdominal Aortic Aneurysm Repair. American Journal of Surgery, 170, 246–250.en_US
dc.identifier.endpage250en_US
dc.identifier.issue0en_US
dc.identifier.startpage246en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pubmed/8793680
dc.identifier.urihttps://hdl.handle.net/11616/7797
dc.identifier.volume170en_US
dc.language.isoenen_US
dc.publisherAmerican Journal of Surgeryen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleRoutine coronary arteriography before abdominal aortic aneurysm repairen_US
dc.typeArticleen_US

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