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The Annals of Thoracic Surgery, Vol 53, 341-342, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Mitral valve repair in patients on chronic hemodialysis

EK Sim, CA Mestres, CN Lee and O Adebo
Division of Cardiothoracic Surgery, National University Hospital, Singapore.

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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