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


 
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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: December 05, 2023]. 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 December 05, 2023]; 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