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Mitral valve replacement in patients with prior cardiac surgery: results of a 10-year experience.
Between July 1973 and December 1982, 316 patients underwent aortic and/or mitral valve replacement at this institution. Twenty-eight of the 316 patients (9%) had prior cardiac surgery; 21 of them had undergone only aortic valve replacement and 7 had had mitral valve replacement (3 of these had also undergone aortic valve replacement). There were 14 survivors, who represent the subject of this study. The mean age of the patients was 55.2 years, and the range was from 22 to 76 years. The early mortality was 9.5% (2 patients). Both deaths occurred in patients who had aortic valve replacement only. Five of these patients required inotropic support postoperatively. None of the survivors required intensive care or had any need for pacemaker implantation. Follow-up of the survivors ranged from 11 to 110 months, with a mean of 43.8 months. No patient has required reoperation or died as a result of valve-related disease or infection. We conclude that mitral valve replacement in patients with prior cardiac surgery is a feasible procedure with acceptable early and late results.Q:
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