Influencing factors of aortic valve disease progression after mitral
valve surgery
Abstract
Background:Some of the patients who have undergone mitral valve surgery
may develop into aortic valve disease as time goes on. This study aimed
to explore the influencing factors of the long-term outcome of the
aortic valve after mitral valve surgery. Methods:Patients who underwent
mitral valve surgery from 2010 to 2016 in Zhujiang Hospital were divided
into two groups according to the outcome of the aortic valve. Those who
had significant aortic valve disease progression after mitral valve
surgery were classified into the progression group, and the other
patients were classified into the non-progression group. Collected
clinical data including echocardiography for statistical analysis.
Results:Finally, 144 patients (59 males, 40.97%) were enrolled, with
an average age of 50.35 ±11.32 years, and a median follow-up period of
4.2 years. Five related factors were determined by multivariate
analysis, including tricuspid ring annuloplasty (p=0.010, OR=0.12), left
ventricular diameter (p=0.023, OR=0.93), mild to moderate aortic valve
disease (p=0.009, OR=7.17), mitral prosthesis size (p=0.032,=OR=2.51),
aortic valve peak velocity (p=0.008, OR=3.99). Conclusions:The
progression of aortic valve disease after mitral valve surgery is
related to a variety of factors. It may be mainly due to the increase of
left ventricular preload and a series of hemodynamic changes after
mitral valve surgery. For such patients, a comprehensive consideration
is needed to formulate the surgical plan, rather than using the valve
area as the sole criterion for determining whether to undergo aortic
valve surgery at the same time or not.