Document Detail


Chronic ischemic mitral regurgitation: repair, replace or rethink?
MedLine Citation:
PMID:  16488757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ischemic mitral regurgitation (IMR) is a common complication of coronary artery disease and is the focus of a rapidly increasing amount of research. Mechanistic studies have determined that IMR is caused by apical displacement and tethering of the mitral valve leaflets after myocardial infarction, resulting in incomplete coaptation. Despite the relatively high prevalence of IMR, most centers have only a small surgical experience with this disorder. The result is that a number of different procedures have been recently developed without clear improvement in patient outcomes. The current review will examine the myriad surgical options for IMR with a focus on clinical outcomes.
Authors:
Michael A Borger; Asim Alam; Patricia M Murphy; Torsten Doenst; Tirone E David
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  81     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-20     Completed Date:  2006-09-08     Revised Date:  2007-05-16    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1153-61     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiovascular Surgery, Department of Anesthesia, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada. michael.borger@uhn.on.ca
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Coronary Disease / complications
Heart Valve Prosthesis Implantation / methods*
Humans
Mitral Valve / surgery*
Mitral Valve Insufficiency / surgery*
Myocardial Ischemia / etiology
Comments/Corrections
Comment In:
Ann Thorac Surg. 2007 May;83(5):1919-20; author reply 1920-1   [PMID:  17462444 ]

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


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