Allam, M., Elshihy, E., Farouk, A., Alaa, O., Dawoud, O. (2023). Early Results and Fate of Moderate Mitral Regurgitation in Patients Undergoing Surgical Aortic Valve Replacement. test, 90(1), 1199-1203. doi: 10.21608/ejhm.2023.281256
Mohamed Allam; Ehab Mohamed Elshihy; Alaa-Eldeen Farouk; Omar Alaa; Omar Dawoud. "Early Results and Fate of Moderate Mitral Regurgitation in Patients Undergoing Surgical Aortic Valve Replacement". test, 90, 1, 2023, 1199-1203. doi: 10.21608/ejhm.2023.281256
Allam, M., Elshihy, E., Farouk, A., Alaa, O., Dawoud, O. (2023). 'Early Results and Fate of Moderate Mitral Regurgitation in Patients Undergoing Surgical Aortic Valve Replacement', test, 90(1), pp. 1199-1203. doi: 10.21608/ejhm.2023.281256
Allam, M., Elshihy, E., Farouk, A., Alaa, O., Dawoud, O. Early Results and Fate of Moderate Mitral Regurgitation in Patients Undergoing Surgical Aortic Valve Replacement. test, 2023; 90(1): 1199-1203. doi: 10.21608/ejhm.2023.281256

Early Results and Fate of Moderate Mitral Regurgitation in Patients Undergoing Surgical Aortic Valve Replacement

The Egyptian Journal of Hospital Medicine
Article 178, Volume 90, Issue 1, January 2023, Pages 1199-1203    PDF (521.82 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.281256
Authors
Mohamed Allam; Ehab Mohamed Elshihy; Alaa-Eldeen Farouk; Omar Alaa; Omar Dawoud
Abstract
Background: The management of studied cases with moderate mitral regurgitation (MR) undergoing surgical aortic valve replacement (SAVR) remains debatable.
Objective: The aim of the current study to investigate the early results and fate of moderate MR after AVR.
Patients and methods: This study was both prospective and retrospective, conducted in the Cardiothoracic Surgery Department in the Faculty of Medicine at Cairo University, from March 2020 to October 2021. A total 200 studied cases undergoing AVR with moderate functional MR were screened. The fate of residual MR was evaluated by transthoracic echocardiography 6 months post-operative, and the prognosis of studied cases with residual MR.
Results: Up to 76% of the studied cases with moderate functional MR after isolated AVR enhanced mitral valve function, while 18% did not show a significant change, and 6% showed deterioration in mitral valve function over the short-term follow-up period. The decrease in MR is associated with the degree of LV acute reverse remodeling, which can be demonstrated by the decrease in LV end-diastolic volume. Perioperative morbidity did not find any significant variation among studied cases. The clinical outcomes showed significantly improved symptoms during the follow-up period for all patients. Conclusion: Patients with aortic valve disease and moderate functional MR should undergo AVR alone. The degree of MR will remain stable or may improve.
 
 
Keywords
Aortic valve disease; Mitral regurge; Aortic valve replacement; Follow up study; Cairo University
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