Document Detail


Mitral valve repair for ischemic mitral regurgitation in dilated cardiomyopathy.
MedLine Citation:
PMID:  16113002     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ischemic mitral regurgitation contributes to poor survival in patients with heart failure. The intermediate-term outcome of mitral reconstruction in 15 patients who had ischemic dilated cardiomyopathy with mitral regurgitation requiring surgical intervention was studied. They underwent mitral valve repair along with coronary artery bypass surgery. The mitral valve coaptation depth was considered an important parameter in deciding on repair. Ages ranged from 43 to 72 years. Left ventricular ejection fractions were 15-38% (mean, 26.5% +/- 4.3%). The operative technique in all 15 patients was posterior annuloplasty using Dacron felt. At a mean follow-up of 4.6 +/- 1.2 months (1-8 months), postoperative transesophageal echocardiography revealed mild mitral regurgitation in 2 patients and none in 13. There was a significant improvement in New York Heart Association functional class from 3.9 +/- 1.1 to 1.9 +/- 0.3. Mitral valve repair by posterior felt annuloplasty provides favorable results in the intermediate-term in selected patients with ischemic cardiomyopathy and severe left ventricular dysfunction.
Authors:
Vijay Kohli; Harpreet Wasir; Sanjay Mittal; Anil Karlekar; Yatin Mehta; Naresh Trehan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  13     ISSN:  0218-4923     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-22     Completed Date:  2005-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  267-70     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi 110025, India. vijay_k22@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cardiomyopathy, Dilated / etiology,  surgery*
Coronary Artery Bypass
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / methods
Humans
Male
Middle Aged
Mitral Valve Insufficiency / etiology,  surgery*
Myocardial Ischemia / complications*,  surgery
Polyethylene Terephthalates
Stroke Volume
Treatment Outcome
Ventricular Dysfunction, Left / surgery
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

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


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