Retrospective Study of the Outcome of Mitral Valve Replacement with or without Tricuspid Valve Repair in Ain Shams University

Abstract

Mitral valve replacement surgery is the most common open heart surgery performed in the department of cardiothoracic surgery, Ain Shams University Hospital, Egypt. Rheumatic mitral valvular disease is more common than degenerative mitral valve disease. Mitral valve repair is not possible in large number of patients because of rheumatic cicatrized subvalvular mitral valve disease. The prosthetic mitral valve replacement is commonly performed in our center. The most serious consequence of rheumatic fever is rheumatic heart disease that occurs in roughly 30% of patients. Patients with sudden onset rheumatic fever may present with pancarditis along with valvular pathology, heart failure and pericarditis. Incidence of rheumatic heart disease has dropped during the last 40 years in western world. However, it is still remains a major health challenge in developing countries. It is estimated that 16 million in dividuals are affected by rheumatic heart disease around the globe, with roughly 281,000 new cases and 234,000 deaths every year. One of the most common valvular complications of rheumatic heart disease is mitral stenosis and/or regurgitation. In majority of cases, mitral valve replacement is typically essential, however in few cases mitral valve repair can also be performed