Is a good perioperative echocardiographic result predictive of durability in ischemic mitral valve repair?

The Journal of Thoracic and Cardiovascular Surgery
K SerriA J Basmadjian

Abstract

Chronic ischemic mitral regurgitation is associated with poor long-term survival. Despite the increasing popularity of valve repair, its durability and long-term outcome for ischemic mitral regurgitation have recently been questioned. Seventy-eight patients underwent repair for ischemic mitral regurgitation between 1996 and 2002 at our institution. Of these patients, 73 had complete clinical and echocardiographic follow-up. Preoperative, intraoperative, and postoperative clinical data were obtained, and the results of echocardiograms were reviewed to assess the rate of recurrence of regurgitation after repair and to identify predictive factors. The mean preoperative mitral regurgitation grade, New York Heart Association class, and left ventricular ejection fraction were 2.72, 2.65, and 39.4%, respectively. Mortality was 12.3% at 30 days and 30.1% at a mean follow-up of 39 +/- 25 months. Immediate postoperative echocardiography showed absent or mild mitral regurgitation in 89.4% of patients and showed moderate mitral regurgitation in 10.6%. Freedom from reoperation was 93.2%. Recurrent moderate mitral regurgitation (2+) was present in 36.7% of patients, and severe mitral regurgitation (3+ to 4+) was present in 20.0% at mean foll...Continue Reading

References

Dec 1, 1992·Journal of the American College of Cardiology·T KonoS Goldstein
Nov 1, 1989·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·I A D'CruzJ B Lakier
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·R C GormanL H Edmunds
Jan 1, 1995·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L H CohnS F Aranki
Jul 21, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·R G SeipeltB J Messmer
Dec 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·E A GrossiS B Colvin
Dec 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·A M GillinovP M McCarthy
Feb 9, 2002·Journal of Cardiac Surgery·E A GrossiS B Colvin
Jul 2, 2003·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·William A ZoghbiUNKNOWN American Society of Echocardiography
Sep 3, 2004·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Robert A LevineLawrence G Rudski
Sep 3, 2004·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Eustachio AgricolaOttavio Alfieri
Dec 2, 2004·The Journal of Thoracic and Cardiovascular Surgery·Edwin C McGeeDelos M Cosgrove

❮ Previous
Next ❯

Citations

Nov 27, 2008·Current Heart Failure Reports·Joseph H Gorman, Robert C Gorman
Oct 26, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arend de WegerJeroen J Bax
Jan 10, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joanna ChikweGregory W Fischer
Jul 30, 2010·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Martin TroubilVilem Bruk
Jul 16, 2014·General Thoracic and Cardiovascular Surgery·Satoru Wakasa, Yoshiro Matsui
Dec 29, 2011·Current Cardiology Reports·Philippe UngerPatrizio Lancellotti
Dec 4, 2010·Journal of the American College of Cardiology·Eugene A GrossiUNKNOWN RESTOR-MV Study Group
Mar 25, 2014·The Annals of Thoracic Surgery·Frederick C CobeyG Burkhard Mackensen
Sep 24, 2013·The Annals of Thoracic Surgery·Giangiuseppe CappabiancaGiampiero Esposito
Jul 21, 2010·The American Journal of Cardiology·Agnieszka CiarkaNico Van de Veire
Oct 10, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Julien MagneMario Sénéchal
Dec 19, 2015·International Journal of Cardiology·Francesco NappiChristophe Acar
May 5, 2009·Progress in Cardiovascular Diseases·K M John ChanPrakash P Punjabi
May 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Michael A BorgerTirone E David
Dec 13, 2006·Seminars in Thoracic and Cardiovascular Surgery·Joseph H Gorman, Robert C Gorman
Nov 29, 2007·Journal of Interventional Cardiology·Nicolo Piazza, Raoul Bonan
Nov 15, 2011·Journal of Cardiac Surgery·Martin TroubilVladimir Lonsky
Sep 10, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Francesco NappiChristophe Acar
Apr 19, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Anna PetronioFabio Guarracino
Mar 27, 2007·The Annals of Thoracic Surgery·Frédéric Vanden EyndenMichel Pellerin
May 16, 2009·Journal of the American College of Cardiology·Nicolo PiazzaRaoul Bonan
Aug 17, 2010·The Journal of Thoracic and Cardiovascular Surgery·Antonio M CalafioreMichele Di Mauro
Jul 13, 2014·Annals of Biomedical Engineering·Zhaoming HeBo Gao
Aug 18, 2016·The Journal of Thoracic and Cardiovascular Surgery·Inez J Wijdh-den HamerRobert C Gorman
Sep 14, 2016·Annals of Biomedical Engineering·Zhaoming HeYong Wang
Mar 18, 2017·Journal of Cardiac Surgery·Li WeiYaxiong Li
Feb 14, 2008·Seminars in Cardiothoracic and Vascular Anesthesia·Ivan Iglesias
May 26, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Olivier DubreuilLuc Bilodeau
Jan 2, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Ajay Kumar Jha, Vishwas Malik
Oct 11, 2017·Annals of Cardiac Anaesthesia·Praveen Kerala VarmaAshish Narayan Madkaiker

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Thoracic and Cardiovascular Surgery
Edwin C McGeeD M Cosgrove
Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Kazuo Tanemoto
The Journal of Thoracic and Cardiovascular Surgery
S F BollingD S Bach
© 2021 Meta ULC. All rights reserved