| Results of coronary bypass and valve operations for mitral valve regurgitation. | |
| | |
MedLine Citation:
|
PMID: 17911067 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Combined coronary bypass grafting and valve procedures for mitral valve regurgitation result in poor outcomes, but the impact of the etiology of valve regurgitation on operative and long-term outcomes is not well defined. A retrospective analysis of 468 patients who had combined coronary bypass grafting and valve operations for mitral regurgitation showed that 78% had valve repairs and 22% had replacements for ischemic (45%) or degenerative (55%) disease. Predictors of operative mortality were ischemic mitral regurgitation, failure to use the internal mammary artery for grafting, severe coronary disease, acute myocardial infarction, low ejection fraction, advanced heart failure, emergency operation, and mitral valve replacement. The 5-year survival rates for propensity-matched patients with ischemic or degenerative disease were similar (66%). Low ejection fraction (< 35%), advanced age (> 67 years), valve replacement surgery, residual mitral regurgitation, and severe coronary artery disease were predictors of poor long-term outcome. Although the operative outcomes of ischemic mitral regurgitation were poor compared to those of degenerative disease, the long-term survival was similar in both groups of propensity-matched patients. Left ventricular remodeling, an optimal valve procedure without residual mitral regurgitation, and left ventricular function are more important determinants of long-term outcome than the etiology of valve regurgitation. |
| | |
Authors:
|
Srikrishna Sirivella; Isaac Gielchinsky |
Related Documents
:
|
11205937 - A huge mitral valve tumor and its vascularity--a case report. 9738127 - Bentall operation, total aortic replacement and mitral valve replacement for a young ad... 21078837 - Anatomy of the mitral valve: understanding the mitral valve complex in mitral regurgita... 15635217 - Surgical treatment for primary cardiac leiomyosarcoma causing right ventricular outflow... 7944697 - Intraoperative assessment of coronary artery bypass grafts using a pulsed doppler flowm... 6205827 - Whipple bacilli within the tunica media of pulmonary arteries. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Asian cardiovascular & thoracic annals Volume: 15 ISSN: 1816-5370 ISO Abbreviation: Asian Cardiovasc Thorac Ann Publication Date: 2007 Oct |
Date Detail:
|
Created Date: 2007-10-03 Completed Date: 2008-05-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9503417 Medline TA: Asian Cardiovasc Thorac Ann Country: Singapore |
Other Details:
|
Languages: eng Pagination: 396-404 Citation Subset: IM |
Affiliation:
|
Department of Cardiovascular and Thoracic Surgery, Newark Beth Israel Medical Center, University of Medicine & Dentistry of New Jersey, Newark, NJ, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cardiac Surgical Procedures* / adverse effects, mortality Coronary Artery Bypass* / adverse effects, mortality Coronary Disease / complications, mortality, physiopathology, surgery* Emergency Treatment / adverse effects Female Heart Failure / complications, mortality Heart Valve Prosthesis Implantation* / adverse effects, mortality Hospital Mortality Humans Kaplan-Meiers Estimate Length of Stay Male Mitral Valve Insufficiency / complications, etiology, mortality, physiopathology, surgery* Myocardial Infarction / complications, mortality Myocardial Ischemia / complications, mortality Retrospective Studies Risk Factors Severity of Illness Index Stroke Volume Time Factors Treatment Outcome Ventricular Dysfunction, Left / complications, mortality Ventricular Dysfunction, Right / complications, mortality Ventricular Remodeling |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Coronary artery bypass surgery with on-pump beating-heart technique.
Next Document: Urokinase thrombolysis in acute-on-chronic vascular occlusion of lower limb.