{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:03:41Z","timestamp":1791813821306,"version":"4.3.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T00:00:00Z","timestamp":1426550400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2015,7]]},"abstract":"\n Aim<\/jats:title>\n This retrospective study was undertaken to evaluate the midterm results of mitral valve repair for rheumatic mitral regurgitation, in term of survival rate and late valve failure.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n From January 2003 to January 2014, 97 patients underwent mitral valve repair in our hospital. Age ranged from 8 to 74 years, mean 24\u2009\u00b1\u20091.4 years; 74 (76%) patients were female. Mean preoperative functional class was 2.47\u2009\u00b1\u20090.07. Mean preoperative ejection fraction was 59.9%\u2009\u00b1\u20092%. The lesions were pure mitral regurgitation in 79 (81.4%) patients, predominant mitral regurgitation with stenosis in 9 (9.3%), and predominant mitral stenosis with regurgitation in 9 (9.3%). Seventy-one (73%) patients were in normal sinus rhythm.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n One patient died in the postoperative period, and 8 were lost during follow-up. Follow-up time ranged from 6 to 137 months, mean 58.8\u2009\u00b1\u20094.2 months. There were 6 late deaths. Actuarial survival at 5 and 10 years was 95.5% and 89.2%, respectively. Twenty-seven (27.8%) patients had mitral regurgitation during follow-up, and 7 underwent reoperation with no hospital mortality. Freedom from reoperation at 5 and 10 years was 94.5% and 82.7%, respectively. Freedom from reoperation or progression of mitral regurgitation at 5 and 10 years was 70.4% and 61.8%, respectively. Freedom from all late events at 5 and 10 years was 68 % and 56.4%, respectively.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Mitral valve repair for rheumatic mitral regurgitation is associated with a significant rate of valve failure and reoperation. However, it has a satisfactory survival rate and is a good alternative to valve replacement, especially for young patients, to avoid the life-long risks of a prosthetic valve.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0218492315576282","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T20:01:08Z","timestamp":1426708868000},"page":"658-664","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Mitral valve repair for rheumatic mitral regurgitation: Mid-term results"],"prefix":"10.1177","volume":"23","author":[{"given":"Somchai","family":"Waikittipong","sequence":"first","affiliation":[{"name":"Department of Surgery, Yala Hospital, Yala, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,3,17]]},"reference":[{"key":"bibr1-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.91.4.1022"},{"key":"bibr2-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(98)70283-1"},{"key":"bibr3-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.774307"},{"key":"bibr4-0218492315576282","first-page":"91","volume":"78","author":"Duran CG","year":"1988","journal-title":"Circulation"},{"key":"bibr5-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(20)31455-0"},{"key":"bibr6-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39144-5"},{"key":"bibr7-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36316-0"},{"key":"bibr8-0218492315576282","first-page":"125","volume":"84","author":"Duran CM","year":"1991","journal-title":"Circulation"},{"key":"bibr9-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.4.1746"},{"key":"bibr10-0218492315576282","first-page":"167","volume":"90","author":"Skoularigis J","year":"1994","journal-title":"Circulation"},{"key":"bibr11-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1161\/hc37t1.094707"},{"key":"bibr12-0218492315576282","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2005.121590"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492315576282","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492315576282","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492315576282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:29:52Z","timestamp":1777393792000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492315576282"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,17]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1177\/0218492315576282"],"URL":"https:\/\/doi.org\/10.1177\/0218492315576282","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,17]]}}}