0 41

Cited 0 times in

Is prophylactic aortic valve replacement indicated during mitral valve surgery for mild to moderate aortic valve disease?

DC FieldValueLanguage
dc.contributor.author장양수-
dc.contributor.author정남식-
dc.contributor.author하종원-
dc.contributor.author장병철-
dc.date.accessioned2018-11-20T11:46:12Z-
dc.date.available2018-11-20T11:46:12Z-
dc.date.issued2002-
dc.identifier.issn0003-4975-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/165644-
dc.description.abstractBACKGROUND: Determining the need for surgical treatment of coexisting mild to moderate aortic valve disease in patients referred for mitral valve surgery is often difficult. The purpose of this study was to assess long-term clinical outcome and the need for subsequent aortic valve replacement in patients with mild to moderate rheumatic aortic valve disease at the time of mitral valve surgery. METHODS: A total of 275 patients (90 men and 185 women, mean age 43 years) with rheumatic disease who underwent mitral valve surgery were followed up for an average of 9 years. Patients were classified into two groups: those with coexisting mild to moderate aortic valve disease at the time of mitral valve surgery (141 patients, group A) and those without (134 patients, group B). Primary outcomes (death and subsequent aortic valve surgery) were compared between the two groups. RESULTS: At the time of mitral valve surgery, 104 patients (74%) in group A had mild aortic regurgitation, 37 (26%) had moderate aortic regurgitation, 5 had (4%) mild aortic stenosis, and 2 (1%) had moderate aortic stenosis. At the end of follow-up, no patient had severe aortic valve disease. In all, 12 patients (5%) in group A had primary events (eight deaths and four subsequent aortic valve replacements), and 12 patients (9%) in group B had such events (12 deaths). According to Kaplan-Meier analysis, neither the survival rate nor the event-free survival rate differed significantly over the follow-up period between the two groups. CONCLUSIONS: In most patients who have mild to moderate rheumatic aortic valve disease at the time of mitral valve surgery, the long-term outcome is comparable to that of subjects without aortic valve disease at the time of mitral valve surgery. Subsequent aortic valve replacement is rarely needed after a long follow-up period.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfAnnals of Thoracic Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAortic Valve/surgery*-
dc.subject.MESHAortic Valve Insufficiency/complications-
dc.subject.MESHAortic Valve Stenosis/complications-
dc.subject.MESHDisease Progression-
dc.subject.MESHEchocardiography-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHeart Valve Diseases/mortality-
dc.subject.MESHHeart Valve Diseases/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMitral Valve/surgery*-
dc.subject.MESHRheumatic Heart Disease/surgery-
dc.subject.MESHSurvival Rate-
dc.subject.MESHTreatment Outcome-
dc.titleIs prophylactic aortic valve replacement indicated during mitral valve surgery for mild to moderate aortic valve disease?-
dc.typeArticle-
dc.contributor.college1. College of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthorJong-Won Ha-
dc.contributor.googleauthorSeung-Hyuck Choi-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorChung Mo Nam-
dc.contributor.googleauthorYangsoo Jang-
dc.contributor.googleauthorNamsik Chung-
dc.contributor.googleauthorWon-Heum Shim-
dc.contributor.googleauthorSeung-Yun Cho-
dc.contributor.googleauthorSung-Soon Kim-
dc.identifier.doiS0003-4975(02)03856-0-
dc.contributor.localIdA03430-
dc.contributor.localIdA03448-
dc.contributor.localIdA03585-
dc.contributor.localIdA04257-
dc.relation.journalcodeJ00183-
dc.identifier.eissn1552-6259-
dc.identifier.pmid12400754-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0003497502038560-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameJang, Yang Soo-
dc.contributor.alternativeNameChung, Nam Sik-
dc.contributor.alternativeNameHa, Jong Won-
dc.contributor.affiliatedAuthor장양수-
dc.contributor.affiliatedAuthor정남식-
dc.contributor.affiliatedAuthor하종원-
dc.contributor.affiliatedAuthor장병철-
dc.citation.volume74-
dc.citation.number4-
dc.citation.startPage1115-
dc.citation.endPage1119-
dc.identifier.bibliographicCitationAnnals of Thoracic Surgery, Vol.74(4) : 1115-1119, 2002-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.