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Eugene K.W. Sim
Carlos A. Mestres
Chuen Neng Lee
Oluwole Adebo
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Ann Thorac Surg 1992;53:341-342
© 1992 The Society of Thoracic Surgeons

Articles

Mitral valve repair in patients on chronic hemodialysis

Eugene K.W. Sim, FRCS*, Carlos A. Mestres, MD, Chuen Neng Lee, FRACS, Oluwole Adebo, FRCSC

Division of Cardiothoracic Surgery, National University Hospital, Singapore

Accepted for publication August 2, 1991.

* Address reprint requests to Dr Sim, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 0511.

Two cases of successful mitral valve repair in patients on chronic hemodialysis are presented. We stress that valve repair is preferable to valve replacement whenever feasible because of improved left ventricular function, reduced complication rate, and freedom from anticoagulation. This especially applies to patients on chronic hemodialysis as they have impaired immunological function, are subjected to repeated fistula punctures with possible bacteremia, and are more susceptible to early calcification and degeneration of tissue valves.




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