Mitral valve replacement with preservation of anterior and posterior mitral leaflets versus mitral valve repair in patients with rheumatic mitral regurgitaion / Ihab Mohamed Salah Eldin Elsharkawy ; Supervised Mohamed Abdelraouf , Ahmed Hussein Gaafar , Ahmed Salah Eldin Fouad

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery

Inspite of all refinements in tactics and techniques in cardiac surgery, the main goal of our effort should be, first, to decrease by effective prevention the incidence of rheumatic fever, second, to decrease by effective prevention the incidence of post rheumatic heart affection and third, as the former two is not likely to come true in the near future, to have at least patients with rheumatic mitral valve disease indicated for surgical management without waiting for the patient to develop sever left ventricular dysfunction, marked elevation in PAP, atrial fibrillation and clinically before deterioration according to NYHA classification. Color flow doppler Echocardiography is a non-invasive, accurate, sensitive and specific method for diagnosing and assessing severity and etiology of mitral insufficiency so it is the investigation of choice for preoperative assessment and decision making and postoperative follow up after mitral valve repair or replacement

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