Rheumatic Mitral Valve Surgery: A Retrospective Analysis of 1025 Cases

Abstract

Aims: In this study we will raise the particularities of rheumatic mitral valve disease as well as its surgical management. We’ll evaluate which prognostic factors affected long term outcomes in mitral valve repair and replacement.

Methods: This study examines 1025 cases of patients who had mitral valve surgery at the Ibn Sina Hospital in Rabat, Morocco, between January 2, 2001 and April 5, 2012.

A clinical and paraclinical evaluation has been established prior to surgery.

Results: Mitral stenosis and functional tricuspid insufficiency are the most common valvular problems. In 93 percent of cases, the gesture was the first intervention, with mitral valve replacement in 90% of cases and plasty in 10% of cases.

Conclusion: These patients deserve a more precise assessment when choosing a surgical method that has a significant impact on post-operative outcomes. This research examines the criteria that promote mitral repair surgery in patients with rheumatic disease, as well as the efficiency of existing repair approaches against prosthetic valve replacement in developing nations.