PMID: 9169363Jan 1, 1997Paper

Mitral valve reconstruction and mitral valve replacement for ischemic mitral insufficiency

Journal of Cardiac Surgery
H HausmannR Hetzer

Abstract

Patients with ischemic mitral incompetence have a high operative risk whether the valve is repaired or replaced. The advantage of repair over replacement is unclear in this group of patients. Between April 1986 and December 1994, 232 patients underwent surgery for ischemic mitral valve insufficiency; mitral valve replacement was performed in 98 of them. Operative mortality was 13.3%. The actuarial survival rate after 5 years was 73.3%. The surgical risk in patients whose left ventricular ejection fraction (LVEF) was 10%-30% (operative mortality 50.0%) was higher than in those whose LVEF was greater than 30%. Valve reconstruction was performed in 102 patients. Operative mortality in this patient group was 14.7%. The surgical risk in patients whose LVEF was < or = 30% was higher (operative mortality 42.9%). The total actuarial survival rate of all patients was 64.4% after 5 years. Mortality during follow-up was higher in patients with residual mitral valve insufficiency greater than grade I after mitral valve reconstruction. Twenty-four patients with severely impaired left ventricular function underwent heart transplantation. Operative mortality in this group was 12.5%. Eight patients received left ventricular aneurysmectomy in a...Continue Reading

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Citations

Oct 4, 2000·The Annals of Thoracic Surgery·R FasolE Joubert-Hubner
Feb 5, 2004·The Annals of Thoracic Surgery·Kiyotaka FukamachiPatrick M McCarthy
Dec 1, 2001·Zeitschrift für Kardiologie·M BauerR Hetzer
Nov 13, 2007·Revista española de cardiología·Farzan FilsoufiDavid H Adams
Jul 31, 2007·Journal of Cardiac Surgery·Shahzad G Raja, Geoffrey A Berg
Dec 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·E A GrossiS B Colvin
Apr 26, 2001·American Heart Journal·L H Edmunds
Apr 19, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Dong Seop JeongYoung Tak Lee
Mar 7, 2006·The Journal of Thoracic and Cardiovascular Surgery·K SerriA J Basmadjian
Dec 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·A M GillinovP M McCarthy
Jun 22, 2012·Asian Cardiovascular & Thoracic Annals·Jack A T C ParkerChristian-Friedrich Vahl
Feb 9, 2002·Journal of Cardiac Surgery·E A GrossiS B Colvin
Nov 21, 2001·Journal of Cardiac Surgery·D BitranS Silberman
May 5, 2016·The Cochrane Database of Systematic Reviews·Zhao Lan LiuJoey S W Kwong
Feb 26, 2000·American Heart Journal·R FasolS Wetter

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