Both Leaflet Versus Posterior Leaflet Preservation in Mitral Valve Replacement | ||
| The Medical Journal of Cairo University | ||
| Volume 91, Issue 12, December 2023, Pages 1513-1518 PDF (367.28 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2024.342784 | ||
| Author | ||
| USAMA A. HAMZA, MD.; SAMEH M. AMER, MD.; HYSAM E. ABDELMOHTY, MD.; HATEM A. ELSOROGY, M.D. and HANY MEHANY MOHAMED, M.Sc. | ||
| The Department of Cardiothoracic Surgery, Faculty of Medicine, Mansoura University | ||
| Abstract | ||
| Abstract Background: Most cardiac surgeons prefer to preserve only the posterior leaflet of Mitral Valve During Mitral Valve Replacement because preserving both leaves prolong surgery, necessitates a smaller prosthetic valve, and increases the risk of both the prosthetic valve contacting subvalvular structures and obstructing the left ventricular outflow tract (LVOT). Aim of Study: To Compare the short-term outcomes of preservation of both leaflets versus preservation of the posterior leaflet alone in mitral valve replacement surgery. Patients and Methods: 24 adult patients undergoing or had mitral valve replacement during this study period and Patients were divided into two groups Group A 12 Patients undergoing or had MVR with preservation of both leaflets, Group B 12 Pa-tients undergoing or had MVR with preservation of Posterior leaflet only as a Control. Results: In our study the analysis revealed a statistically significant difference in LVEF between the two groups, The study findings indicate that preservation of both leaflets during mitral valve replacement (MVR-P) may result in a compara-tively higher LVEF at the postoperative stage compared to pres-ervation of the posterior leaflet only (MVR-NP). Conclusion: Preservation of both leaflets during mitral valve replacement results in significantly higher left ventricular ejection fraction (LVEF) and better left ventricular end-systolic diameter (LVEDD) and left ventricular end-diastolic diameter (LVEDD) compared to preserving the posterior leaflet only. | ||
| Keywords | ||
| Mitral valve — Replacement — Leaflet preservation | ||
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