OUR EXPERIENCE OF MITRAL VALVE REPAIR IN A PREDOMINANT RHEUMATIC POPULATION USING A SEMIFLEXIBLE ANNULOPLASTY RING (CE PHYSIO 2 ANNULOPLASTY RING).

Abstract

Background: Annular dilation is the most typical nding in Mitral regurgitation and annuloplasty with a prosthetic ring is common to various techniques described in literature Mitral valve repair in rheumatic heart disease possesses various technical difculties with no general consensus on the ideal annuloplasty ring. This study describes our experience and results with a semirigid annuloplasty ring (CE physio II ring) in a predominant rheumatic population. This is a retrospectiv Methods: e study using data including 23 patients who underwent mitral valve repair at Vardhman Mahavir Medical College and Safdarjung hospital, New Delhi, between July 2018 to April 2022. Patients were followed up to a mean of 19.3 10.6 months with a minimum follow-up period of 6 months. The mean age was Results: 30.5 15.3 years. The majority of patients, 78.3% (18) had rheumatic heart disease. 82.6% (19) of patients belonged to NYHA class I/II. The results in our study with CE physio II ring are excellent with 91.3% patients free from signicant MR (grade 2). 72% of the patients had improved or preserved Left ventricular function with a decrease in mean LVEF by 2.4% which was statistically insignicant(P>0.05). There was 0 operative or early mortality in our study. The semiexible CE physio II ring provides Conclusions: excellent results in both short and midterm outcomes in terms of freedom from recurrence of signicant MR with preservation of left ventricular function.