Document Detail


Autologous ring vs. flexible prosthetic ring for ischemic mitral regurgitation.
MedLine Citation:
PMID:  20304845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ring annuloplasty is the most common strategy for correction of ischemic mitral regurgitation. When a commercial prosthesis is unavailable or too expensive, an autogenous annuloplasty ring can be handmade by the surgeon. The aim of this study was to compare short-term results of mitral valve repair with autologous annuloplasty rings and the SJM Tailor flexible prosthesis. Between March 2004 and April 2006, 100 patients undergoing coronary artery bypass grafting and mitral ring annuloplasty for ischemic regurgitation were randomly assigned to either type of prosthesis. Transesophageal and transthoracic echocardiography showed no significant differences between these techniques in terms of immediate success of the repair and its durability at 3, 6, and 9 months postoperatively. Autogenous rings are easy to make, cost-effective, and always available. Our short-term results suggest that they may be an acceptable alternative to a commercially produced prosthesis for patients with ischemic mitral regurgitation.
Authors:
Ali Reza Bakhshandeh; Mehrdad Salehi; Hasan Radmehr; Ahmad Reza Nasr; Mehrzad Rahmanian; Khosro Sharifi
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  18     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-22     Completed Date:  2010-06-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  127-30     Citation Subset:  IM    
Affiliation:
Imam Khomeini Medical Center, Tehran, Iran. abakhshandeh18@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Echocardiography
Echocardiography, Transesophageal
Female
Heart Valve Prosthesis*
Humans
Male
Middle Aged
Mitral Valve / surgery
Mitral Valve Insufficiency / surgery*
Myocardial Ischemia / surgery*
Saphenous Vein / transplantation*
Transplantation, Autologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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