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Two-Year Outcomes of Surgical Treatment of Moderate Ischemic Mitral Regurgitation
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Two-Year Outcomes of Surgical Treatment of Moderate Ischemic Mitral Regurgitation
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Journal Article
Two-Year Outcomes of Surgical Treatment of Moderate Ischemic Mitral Regurgitation
2016
Overview
After 2 years of follow-up in a randomized trial involving 301 patients with moderate ischemic mitral regurgitation undergoing CABG, the addition of mitral-valve repair did not improve left ventricular function or remodeling.
Ischemic mitral regurgitation of moderate severity develops in approximately 10% of patients after myocardial infarction.
1
,
2
Mitral regurgitation is caused by the displacement of papillary muscle, leaflet tethering, reduced closing forces, and annular dilatation. Over time, the condition has an adverse effect on the rate of survival free of heart failure.
3
Because most patients with ischemic mitral regurgitation have multivessel coronary artery disease requiring revascularization, surgeons have to consider whether to add mitral-valve repair to coronary-artery bypass grafting (CABG).
The appropriate surgical management of moderate ischemic mitral regurgitation at the time of CABG remains controversial. Some experts advocate revascularization alone . . .
Publisher
Massachusetts Medical Society
Subject
/ Female
/ Heart
/ Humans
/ Ischemia
/ Male
/ Mitral Valve Insufficiency - etiology
/ Mitral Valve Insufficiency - mortality
/ Mitral Valve Insufficiency - surgery
/ Myocardial Infarction - complications
/ Myocardial Infarction - surgery
/ Patient Readmission - statistics & numerical data
/ Patients
/ Survival
