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European Heart Journal 1991 12(Supplement B):77-80; doi:10.1093/eurheartj/12.suppl_B.77
Copyright © 1991 by the European Society of Cardiology.
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© 1991 The European Society of Cardiology

Influence of associated valvular lesions on long-term prognosis of mitral stenosis A 20-year follow-up of 202 patients

F. Delahaye, J. Delaye, R. Ecochard, D. Cao, J. L. Genoud, O. Jegaden, X. Andre-Fouet and J. Beaune

Hôpital Cardiologique, Faculté Lyon Nord Lyon, France

Correspondence: J. Delaye, Hôpital Cardiologue, BP Lyon Montchat, 69394-Lyon Cédex 03, France.

Other valvular lesions associated with pure MS were studied in 202 consecutive patients whose mean age was 43·4±12·7 years; 76·7% were females. MS was isolated in 63·4%, associated with aortic regurgitation (AR) in 27·7%, aortic stenosis in 1·0%, tricuspid slenosis (+aortic valve lesion) in 1·0%. In isolated MS, 42·4% were NYHA class III or IV, compared with 49·0% in MS +aortic valve lesion. One hundred and sixty-nine (85·4%) patients were operated on; 23·1% had mitral valve replacement, 76·9% had closed (31·45%) or open (45·6%) mitral commissurotomy; 7·1% had associated aortic valve replacement. There were perioperative complications in 20·4%, and the perioperative death rate was 4·1%. Two patients were reoperated in the postoperative course, and 28 patients after this period. The followup was 13·3±4·5 years. The survival rate was 77·7±4·6% (SE) for irolated MS, and 71·1±6·3% for MS associated with an aortic valve lesion (NS). The prognosis of MS ir very good: the survival rate at 20 years followup is 75%. The awociation of aortic stenosis or tricuspid stenosis does not appear to alter this survival, but numbers are small. Important aortic regurgitation is a significant predictor of higher mortcllity in patients with MS.

Key Words: Mitral stenosis • aortic regurgitation • valvular surgery • Doppler echocardiography


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