Document Detail


Persistent and recurrent ischemic mitral regurgitation.
MedLine Citation:
PMID:  20668495     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Ischemic mitral regurgitation (IMR) is a consequence of coronary artery disease and the main underlying mechanism is augmented leaflet tethering due to outward displacement of the papillary muscles. Although mitral annuloplasty combined with coronary revascularization is usually effective in the treatment of IMR, occasionally the regurgitation can persist or recur and this can affect patient prognosis.
METHODS: We searched Medline and Google scholar database for articles published since 1996 to June 2009. Search terms included ischemic mitral regurgitation, recurrent mitral regurgitation, persistent mitral regurgitation and annuloplasty failure.
CONCLUSION: This article reviews current knowledge about IMR, the reasons and mechanisms of persistent and recurrent mitral regurgitation. We review clinic and echocardiographic predictive factors associated with persistence a recurrence of mitral regurgitation after annuloplasty.
Authors:
Martin Troubil; Vladimir Lonsky; Marek Gwozdziewicz; Vilem Bruk
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Biomedical papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia     Volume:  154     ISSN:  1213-8118     ISO Abbreviation:  Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-11-22     Revised Date:  2011-01-11    
Medline Journal Info:
Nlm Unique ID:  101140142     Medline TA:  Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub     Country:  Czech Republic    
Other Details:
Languages:  eng     Pagination:  141-5     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Department, University Hospital Olomouc, Czech Republic. troubil@centrum.cz
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass
Echocardiography
Humans
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology*,  physiopathology,  surgery,  ultrasonography
Myocardial Ischemia / complications*,  surgery
Prognosis
Recurrence

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


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