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Biomedical subjects

Manoubia Fekih

Publications and source records attributed to Manoubia Fekih.

2 recordsLinked to original sources

[Mitral valve surgery in the elderly].

We report a retrospective study about 34 patients operated for on mitral valve between 1981 and 2000. All patients were aged more than 65 years. 82% of them were in the class III or IV of the NYHA. 31 of patients had a valvular mitral replacement (by a mechanical protheses in 24 cases and a biological protheses in 7 cases) and 3 patients had a mitral valve reconstruction. An aortic valve replacement was associated in 7 cases, and a myocardial revascularisation in 4 cases. The early mortality rate was 17,6% and the late mortality was 12%. The high mortality is meanly related to the associate lesions (coronarography) and the prognosis is a better with the improvement of surgical technics and perioperative management.

Age Factors↗

[Aortic valve replacement in the elderly].

We report a retrospective study about 60 patients operated on for aortic valve replacement between 1981 and 2000. All patients were aged more than 65 years. 56.6% of patients were in the class III or IV of the NYHA. The type of the valvular substitute was a mechanical prostheses in 58.3% of cases and a biological prostheses in 41.7%. A mitral geste was associated in 6 cases and a myocardial revascularisatin in 5 cases. The early mortality rate was 15% and the late mortality was 23%. The high mortality is meanly related to the associate lesions (coronaropathy) and the prognosis is a better with the improvement of surgical technics and perioperative management.

Actuarial Analysis↗