Mitral Valve Surgery in Patients with Systemic Lupus Erythematosus

Table 1

Reported cases of mitral valve repair in SLE patients.

First author	Published Year	Sex/age	Disease	Mitral pathology	Type of surgery	Outcome
Benotti [13]	1984	f/16	SLE	MR, AI	Repair of anterior mitral leaflet, AVR with biologic valve	6 y follow-up; Remained significant MR
Nishimura [14]	1989	f/24	SLE	MS	MVR after 2 times OMVC	Mediastinal hemorrhage on 21st day postoperatively, died of septicemia
Pomerantzeff [15]	1999	f/48	SLE	MS	OMVC, after 6 m MVR with biologic valve	7 y follow-up
Hakim [16]	2001	f/34	SLE	MR; Recurrent MR	Repair; redo MVR, biologic valve	Developed CHF; 1 y follow-up
Hakim [16]	2001	f/28	SLE	MR; (ruptured chordae, retracted leaflet)	Repair	12 m follow-up
Gorki [17]	2008	f/27; f/53	SLE + APS  SLE + APS	MS, MR; MR, CAD	OMVC, Kay’s annuloplasty; Quadrangular resection + annuloplasty ring, CABG	18 m follow-up; NR
Gorki [17]	2008	f/25	SLE + APS	MR	Repair	NR
Bouma [5]	2010	f/17	SLE	MR; Developed MS after 6 months	Posterior leaflet enlargement and annuloplasty ring; MVR, biologic valve	12 m follow-up
Bouma [5]	2010	f/54	SLE	MR; Developed MR after 29 months	Repair; MVR, mechanical valve	5 y follow-up
		Bouma [5]	2010	m/23	SLE	MR	Repair	NR
Bouma [5]	2010	m/58	SLE + APS	MR	Valvuloplasty and annuloplasty	NR
Bouma [5]	2010	m/49	SLE	MR	Quadrangular resection of the posterior leaflet and annuloplasty ring	Trace MR in; 11 y follow-up
Perier [18]	2011	f/NR	SLE + APS	MR	Vegetation removal, ring annuloplasty	NR
Tanawuttiwat [19]	2011	f/22	SLE	MR, AS	Vegetation removal	VF and TIA due to embolic event, 2 y follow-up
Bourré-Tessier [1]	2011	f/14	SLE	MR	Wedge resection of anterior leaflet, commisuroplasty, and posterior annuloplasty ring	10 y follow-up
Roshanali [20]	2012	f/17	SLE + RF	MS + MR	Ring annuloplasty and anterior leaflet augmentation with autologous pericardium	Need for MVR due to valve calcification in short follow-up

AI: aortic insufficiency, APS: antiphospholipid syndrome, AS: aortic stenosis, AVR: aortic valve replacement, CABG: coronary artery bypass graft, CAD: coronary artery disease, CHF: congestive heart failure, f: female, m: male, m: month(s), MR: mitral regurgitation, MS: mitral stenosis, MVR: mitral valve replacement, NR: not reported, OMVC: open mitral valve commissurotomy, RF: rheumatic fever, SLE: systemic lupus erythematous, TIA: transient ischemic attack, VF: ventricular fibrillation, and y: year.