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Ring annuloplasty in chronic ischemic mitral regurgitation: encouraging early and midterm results.
Tex Heart Inst J 2009; 36(4):287-92TH

Abstract

Ischemic mitral regurgitation, a complication of myocardial infarction, is associated with a poor prognosis and can result in postinfarction congestive heart failure. The preferred treatment of its chronic form is a matter of debate. Herein, we report the early and midterm results in 44 patients with chronic ischemic mitral regurgitation in whom concomitant mitral ring annuloplasty and coronary revascularization were performed at our hospital. We reviewed their medical records. The patients had grades 3/4 and 4/4 chronic ischemic mitral regurgitation, or grade 2/4 regurgitation with left ventricular dilation and low left ventricular ejection fraction. All received circular, flexible annuloplasty rings. Four patients died during the early postoperative period due to low cardiac output (9.1%). At the last follow-up echocardiographic examinations, performed a mean 13.14 +/- 4.66 months after the surgical procedures (range, 6-22 mo), the 40 surviving patients were found to have significantly reduced left ventricular end-diastolic (P = 0.029) and end-systolic (P < 0.05) diameters and improved New York Heart Association functional class (P = 0). Despite a risk of residual regurgitation, mitral ring annuloplasty appears to be a good treatment alternative in selected patients who have chronic ischemic mitral regurgitation. We discuss the procedure's rate of hospital mortality, and its potentially positive impact on survival.

Authors+Show Affiliations

Department of Cardiovascular Surgery, Ozel Avrupa Safak Hastanesi, Gaziosmanpasa, 34080 Istanbul, Turkey. htekumit@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19693300

Citation

Tekumit, Hayrettin, et al. "Ring Annuloplasty in Chronic Ischemic Mitral Regurgitation: Encouraging Early and Midterm Results." Texas Heart Institute Journal, vol. 36, no. 4, 2009, pp. 287-92.
Tekumit H, Cenal AR, Uzun K, et al. Ring annuloplasty in chronic ischemic mitral regurgitation: encouraging early and midterm results. Tex Heart Inst J. 2009;36(4):287-92.
Tekumit, H., Cenal, A. R., Uzun, K., Tataroglu, C., & Akinci, E. (2009). Ring annuloplasty in chronic ischemic mitral regurgitation: encouraging early and midterm results. Texas Heart Institute Journal, 36(4), pp. 287-92.
Tekumit H, et al. Ring Annuloplasty in Chronic Ischemic Mitral Regurgitation: Encouraging Early and Midterm Results. Tex Heart Inst J. 2009;36(4):287-92. PubMed PMID: 19693300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ring annuloplasty in chronic ischemic mitral regurgitation: encouraging early and midterm results. AU - Tekumit,Hayrettin, AU - Cenal,Ali Riza, AU - Uzun,Kemal, AU - Tataroglu,Cenk, AU - Akinci,Esat, PY - 2009/8/21/entrez PY - 2009/8/21/pubmed PY - 2009/10/30/medline KW - Cardiac surgical procedures KW - chronic disease KW - coronary artery bypass/mortality KW - coronary disease/complications/mortality/surgery KW - mitral valve insufficiency/complications/mortality/physiopathology/surgery KW - mitral valve/surgery KW - myocardial infarction/complications/mortality/physiopathology/surgery KW - myocardial revascularization KW - postoperative complications/mortality KW - prognosis SP - 287 EP - 92 JF - Texas Heart Institute journal JO - Tex Heart Inst J VL - 36 IS - 4 N2 - Ischemic mitral regurgitation, a complication of myocardial infarction, is associated with a poor prognosis and can result in postinfarction congestive heart failure. The preferred treatment of its chronic form is a matter of debate. Herein, we report the early and midterm results in 44 patients with chronic ischemic mitral regurgitation in whom concomitant mitral ring annuloplasty and coronary revascularization were performed at our hospital. We reviewed their medical records. The patients had grades 3/4 and 4/4 chronic ischemic mitral regurgitation, or grade 2/4 regurgitation with left ventricular dilation and low left ventricular ejection fraction. All received circular, flexible annuloplasty rings. Four patients died during the early postoperative period due to low cardiac output (9.1%). At the last follow-up echocardiographic examinations, performed a mean 13.14 +/- 4.66 months after the surgical procedures (range, 6-22 mo), the 40 surviving patients were found to have significantly reduced left ventricular end-diastolic (P = 0.029) and end-systolic (P < 0.05) diameters and improved New York Heart Association functional class (P = 0). Despite a risk of residual regurgitation, mitral ring annuloplasty appears to be a good treatment alternative in selected patients who have chronic ischemic mitral regurgitation. We discuss the procedure's rate of hospital mortality, and its potentially positive impact on survival. SN - 1526-6702 UR - https://www.unboundmedicine.com/medline/citation/19693300/Ring_annuloplasty_in_chronic_ischemic_mitral_regurgitation:_encouraging_early_and_midterm_results_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=19693300.ui DB - PRIME DP - Unbound Medicine ER -