E-ISSN 2149-388X | ISSN 2149-0430
 

Original Article 


Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery

Yavuz Arslanoglu, Hayati Deniz, Hasim Ustunsoy.


Abstract
Introduction: Our study aimed to determine the effects of cord protection methods applied in Mitral valve replacement (MVR) surgery on left ventricular function.
Materials and Methods: MVR surgery was performed on 634 patients using either single or combined procedures. Of these patients, 358 (56.5%) underwent conventional MVR surgery, 121 (19.1%) underwent total chordal protection, and 155 (24.4%) underwent posterior chordal preservation. All patients were evaluated as class 3 and 4 according to the New York functional classification (NYHA). Left ventricular diastolic end-diameter (SVDSD), left ventricular systolic end-diameter (SVSSD), end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF) were compared between groups.
Results: The degree of valve insufficiency was 3 and 4 in patients with mitral insufficiency. The mortality risk for patients undergoing conventional surgical operations was 4.257 times higher (OR:4.25; 95%CI:1.22-14.76). The study showed positive effects of chordal protection on the clinical status and echocardiographic parameters of undergoing MVR surgery (p<0.01).
Conclusion: We believe cord protection methods positively affect left ventricular function after MVR. In particular, total chordal protection will positively affect left ventricular function.

Key words: Mitral valve replacement, total chordal protection, posterior chordal protection


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Yavuz Arslanoglu
Articles by Hayati Deniz
Articles by Hasim Ustunsoy
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Arslanoglu Y, Deniz H, Ustunsoy H. Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. Ulutas Med J. 2023; 9(1): 35-41. doi:10.5455/umj.20230201114207


Web Style

Arslanoglu Y, Deniz H, Ustunsoy H. Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. https://www.ulutasmedicaljournal.com/?mno=142488 [Access: March 06, 2024]. doi:10.5455/umj.20230201114207


AMA (American Medical Association) Style

Arslanoglu Y, Deniz H, Ustunsoy H. Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. Ulutas Med J. 2023; 9(1): 35-41. doi:10.5455/umj.20230201114207



Vancouver/ICMJE Style

Arslanoglu Y, Deniz H, Ustunsoy H. Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. Ulutas Med J. (2023), [cited March 06, 2024]; 9(1): 35-41. doi:10.5455/umj.20230201114207



Harvard Style

Arslanoglu, Y., Deniz, . H. & Ustunsoy, . H. (2023) Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. Ulutas Med J, 9 (1), 35-41. doi:10.5455/umj.20230201114207



Turabian Style

Arslanoglu, Yavuz, Hayati Deniz, and Hasim Ustunsoy. 2023. Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. THE ULUTAS MEDICAL JOURNAL, 9 (1), 35-41. doi:10.5455/umj.20230201114207



Chicago Style

Arslanoglu, Yavuz, Hayati Deniz, and Hasim Ustunsoy. "Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery." THE ULUTAS MEDICAL JOURNAL 9 (2023), 35-41. doi:10.5455/umj.20230201114207



MLA (The Modern Language Association) Style

Arslanoglu, Yavuz, Hayati Deniz, and Hasim Ustunsoy. "Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery." THE ULUTAS MEDICAL JOURNAL 9.1 (2023), 35-41. Print. doi:10.5455/umj.20230201114207



APA (American Psychological Association) Style

Arslanoglu, Y., Deniz, . H. & Ustunsoy, . H. (2023) Comparison of Midterm and Long-Term Effects of Cord Protection Methods on Left Ventricular Function in Mitral Valve Replacement Surgery. THE ULUTAS MEDICAL JOURNAL, 9 (1), 35-41. doi:10.5455/umj.20230201114207