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  1. Is it worth repairing rheumatic mitral valve disease in children? Long-term outcomes of an aggressive approach to rheumatic mitral valve repair compared to replacement in young patients
    Krishna Moorthy PS, Sivalingam S, Dillon J, Kong PK, Yakub MA
    Interact Cardiovasc Thorac Surg, 2019 02 01;28(2):191-198.
    PMID: 30085022 DOI: 10.1093/icvts/ivy234
    OBJECTIVES: Contemporary experience in mitral valve (MV) repair for children with rheumatic heart disease (RHD) is limited, despite the potential advantages of repair over replacement. We reviewed our long-term outcomes of rheumatic MV repair and compared them with the outcomes of MV replacement in children with RHD.

    METHODS: This study is a review of 419 children (≤18 years) with RHD who underwent primary isolated MV surgery between 1992 and 2015, which comprised MV repair (336 patients; 80.2%) and MV replacement (83 patients; 19.8%). The replacement group included mechanical MV replacements (MMVRs) (n = 69 patients; 16.5%) and bioprosthetic MV replacements (n = 14 patients; 3.3%). The mean age with standard deviation at the time of operation was 12.5 ± 3.5 (2-18) years. Mitral regurgitation (MR) was predominant in 390 (93.1%) patients, and 341 (81.4%) patients showed ≥3+ MR. The modified Carpentier reconstructive techniques were used for MV repair.

    RESULTS: Overall early mortality was 1.7% (7 patients). The mean follow-up was 5.6 years (range 0-22.3 years; 94.7% complete). Survival of patients who underwent repair was 93.9% both at 10 and 20 years, which was superior than that of replacement (P 

    Matched MeSH terms: Heart Valve Prosthesis Implantation/methods*
  2. Is rheumatic aetiology a predictor of poor outcome in the current era of mitral valve repair? Contemporary long-term results of mitral valve repair in rheumatic heart disease
    Yakub MA, Dillon J, Krishna Moorthy PS, Pau KK, Nordin MN
    Eur J Cardiothorac Surg, 2013 Oct;44(4):673-81.
    PMID: 23447474 DOI: 10.1093/ejcts/ezt093
    Contemporary experience with mitral valve (MV) repair in the rheumatic population is limited. We aimed to examine the long-term outcomes of rheumatic MV repair, to identify the predictors of durability and to compare the repair for rheumatic and degenerative MVs.
    Matched MeSH terms: Heart Valve Prosthesis Implantation/methods*
  3. Infolding of the Venus P-Valve After Transcatheter Pulmonary Valve Implantation
    Riahi M, Ang HL, Jones M, Prachasilchai P, Baruteau AE, Promphan W, et al.
    Circ Cardiovasc Interv, 2018 04;11(4):e005923.
    PMID: 29618579 DOI: 10.1161/CIRCINTERVENTIONS.117.005923
    Matched MeSH terms: Heart Valve Prosthesis Implantation/methods
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