Short Term Surgical Outcome of Mitral Valve Replacement at Srinagarind Hospital

Abstract

Background and Objective: Mitral valve replacement is one of the treatment of severe mitral valve stenosis and regurgitation which were high incidence in the norhteastern part of Thailand. The purpose of this study was to report geographic data, operative data, complications and surgical outcomes.

Methods: Retrospective descriptive study, chart reviews. From January 2006 to Dcember 2008, there were 174 patients who had mitral valve replacement at Srinagarind hospital. Patients characteristics, echocardiographic records, operative data, complications and sugical outcomes were collected. All information was collected from hospital records.

Result: There were 174 patients, with a mean age 46.18 ± 12.32 years (range 19-74 years). The NYHA classes I, II, III, IV were  10 (5.7%), 62 (35.2%), 84 (48.3%) and 18 (10.3%), respectively. One hundred-five patients were severe MS (60.34%), 43 patients were severe MR (24.71%). The most common valve pathology was rheumatic heart disease 153 (87.9%).  Drains at post operative dat 0, 1 with a mean volume was 675.71±46.65 ml. In-hospital mortalities were 8 (4.6%)  patiens. Most of patients with first follow-up were in NYHA class I  (80.2%).

Conclusion: Our experience in surgical outcome mitral valve replacement revealed satisfactory data as those reported from other studies.

Keys words: mitral valve replacement, surgical outcome