Comparison of semi-continuous and interrupted suture techniques for mitral valve replacement.

OBJECTIVE

To compare the efficacy of semi-continuous technique and interrupted suture technique for mitral valve replacement in early post-operative period.

METHODS

The randomised prospective study was conducted at Chaudhry Pervaiz Elahi Institute of Cardiology, Multan, Pakistan, from December 2012 to December 2014 The patients were divided into two equal groups: Group I patients underwent semi-continuous technique for mitral valve replacement, and Group II underwent interrupted technique. Data was analysed using SPSS 16.

RESULTS

The 100 patients were divided into two equal groups of 50(50%) each. There was no significant difference in terms of age, gender and pre-operative echocardiographic characteristics (p>0.05 each). Total bypass and cross-clamp times were significantly higher in Group II (p<0.0001 and p<0.0001). The incidence of peri-prosthetic leakage was low in Group II compared to Group I but it was not significantly different (p=0.64).

CONCLUSIONS

Semi-continuous technique was found to be a safe and reliable method of mitral valve replacement.