Analysis of influencing factors on the outcome of rheumatic mitral valve repair
10.3760/cma.j.cn112434-20240407-00100
- VernacularTitle:风湿性二尖瓣成形手术疗效的影响因素分析
- Author:
Songhao JIA
1
;
Maozhou WANG
1
;
Jie HAN
1
;
Wenjian JIANG
1
;
Hongjia ZHANG
1
Author Information
1. 首都医科大学附属北京安贞医院心脏外科 北京市心肺血管疾病研究所 100029
- Publication Type:Journal Article
- Keywords:
Rheumatic mitral valve disease;
Mitral valve repair;
Mitral valve replacement;
Echocardiogram
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2025;41(3):163-167
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors on the outcome of rheumatic mitral valve repair, to screen suitable patients for rheumatic mitral valve repair.Methods:A total of 876 patients who planned to undergo rheumatic mitral valve repair between January 2016 and March 2022 were included in the study. Preoperative echocardiography and cardiac CT imaging were used to evaluate mitral valve disease in patients. Successful completion of rheumatic mitral valve repair without over mild stenosis or regurgitation was defined as satisfactory repair. Univariate and multivariate logistic regression analyses were conducted to identify the influencing factors on the outcome of rheumatic mitral valve repair. Results:493 patients (56.2%) completed satisfactory rheumatic mitral valve repair. BMI, NYHA classification, left atrial diameter, degree of mitral stenosis, degree of mitral regurgitation, Agatston score, and papillary tendon fusion were independent influencing factors on the outcome of rheumatic mitral valve repair.Conclusion:Nearly 60% of patients with rheumatic mitral valve disease could complete satisfactory rheumatic mitral valve repair, and the degree of mitral valve calcification was an independent risk factor affecting the outcome of rheumatic mitral valve repair.
