Document Detail


Predictive risk factors for early mortality in operative treatment for chronic ischemic mitral insufficiency.
MedLine Citation:
PMID:  17284398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The combination of coronary artery bypass grafting and mitral valve surgeries is closely associated with high in-hospital mortality and morbidity. In this study, we sought to analyze the factors that influence early mortality in 68 patients undergoing coronary artery bypass grafting + mitral valve surgery due to ischemic mitral insufficiency. METHODS: Of 1183 patients undergoing coronary bypass surgery between April 2002 and June 2006, 68 patients (42 male and 26 female) 42 to 78 years of age (mean +/- SD, 59.3 +/- 9.1) underwent mitral valve surgery accompanying coronary bypass surgery (survival, n = 59; mortality, n = 9). The cases were analyzed regarding the demographic, preoperative, and perioperative risk factors that influence mortality. RESULTS: The early mortality rate was found to be 13.2% (9/68) in patients with ischemic mitral regurgitation undergoing simultaneous coronary bypass and mitral valve surgeries. New York Heart Association class > or =3, left ventricle end-systolic volume, left ventricle end-systolic diameter, cardiopulmonary perfusion time, preoperative unstable angina pectoris, intra-aortic balloon application, and age >65 years were determined to be statistically significant risk factors that influence early in-hospital mortality.Conclusion. Surgery, despite having a high mortality risk in patients with ischemic mitral insufficiency, is considered to be a treatment measure that generally improves the quality of life and prolongs life.
Authors:
Oktay Burma; Hasim Ustunsoy; M Adnan Celkan; Vedat Davutoglu; Hakki Kazaz; Cem Atik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  10     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2007  
Date Detail:
Created Date:  2007-02-07     Completed Date:  2007-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E95-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, School of Medicine, Gaziantep University, Gaziantep, Turkey. oburma@hotmail.com <oburma@hotmail.com>
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Chronic Disease
Combined Modality Therapy / mortality
Comorbidity
Coronary Artery Bypass / mortality*
Disease-Free Survival
Female
Heart Valve Prosthesis Implantation / mortality*
Humans
Male
Middle Aged
Mitral Valve Insufficiency / mortality*,  surgery*
Myocardial Ischemia / mortality*,  surgery*
Prognosis
Risk Assessment / methods*
Risk Factors
Survival
Survival Rate
Treatment Outcome
Turkey / epidemiology

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


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