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Ring annuloplasty for ischemic mitral regurgitation: a single center experience.
Asian Cardiovasc Thorac Ann 2014; 22(7):781-6AC

Abstract

BACKGROUND

Ischemic mitral regurgitation associated with coronary artery disease presents a management challenge to cardiac surgeons. We report our early and midterm results of chronic ischemic mitral regurgitation treated with concomitant mitral ring annuloplasty and coronary artery bypass grafting.

METHODS

We performed a retrospective review of the medical records of patients who underwent coronary artery bypass grafting at our institute from January 2009 to December 2011. Data were collected in 50 patients with chronic ischemic mitral regurgitation who had mitral ring annuloplasty along with coronary artery bypass grafting. Preoperative data, echocardiographic findings, operative procedure, outcome, and perioperative hemodynamics were analyzed. Early and intermediate follow-up data were also collected and analyzed.

RESULTS

There were 3 (6%) early and 9 (18%) late deaths. Of the survivors, 38 (76%) had a significant reduction in left ventricular end-diastolic and end-systolic dimensions and improvement in New York Heart Association functional class.

CONCLUSION

Despite a risk of residual regurgitation, mitral ring annuloplasty combined with coronary artery bypass appears to be a good treatment option in selected patients with chronic ischemic mitral regurgitation.

Authors+Show Affiliations

Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India realpranav@yahoo.com.Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.Department of Cardiac Anesthesia, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24887905

Citation

Malhotra, Amber, et al. "Ring Annuloplasty for Ischemic Mitral Regurgitation: a Single Center Experience." Asian Cardiovascular & Thoracic Annals, vol. 22, no. 7, 2014, pp. 781-6.
Malhotra A, Sharma P, Garg P, et al. Ring annuloplasty for ischemic mitral regurgitation: a single center experience. Asian Cardiovasc Thorac Ann. 2014;22(7):781-6.
Malhotra, A., Sharma, P., Garg, P., Bishnoi, A., Kothari, J., & Pujara, J. (2014). Ring annuloplasty for ischemic mitral regurgitation: a single center experience. Asian Cardiovascular & Thoracic Annals, 22(7), pp. 781-6. doi:10.1177/0218492313513594.
Malhotra A, et al. Ring Annuloplasty for Ischemic Mitral Regurgitation: a Single Center Experience. Asian Cardiovasc Thorac Ann. 2014;22(7):781-6. PubMed PMID: 24887905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ring annuloplasty for ischemic mitral regurgitation: a single center experience. AU - Malhotra,Amber, AU - Sharma,Pranav, AU - Garg,Pankaj, AU - Bishnoi,Arvind, AU - Kothari,Jignesh, AU - Pujara,Jigisha, Y1 - 2013/11/25/ PY - 2014/6/3/entrez PY - 2014/6/3/pubmed PY - 2015/5/13/medline KW - Coronary artery bypass KW - annuloplasty KW - mitral regurgitation SP - 781 EP - 6 JF - Asian cardiovascular & thoracic annals JO - Asian Cardiovasc Thorac Ann VL - 22 IS - 7 N2 - BACKGROUND: Ischemic mitral regurgitation associated with coronary artery disease presents a management challenge to cardiac surgeons. We report our early and midterm results of chronic ischemic mitral regurgitation treated with concomitant mitral ring annuloplasty and coronary artery bypass grafting. METHODS: We performed a retrospective review of the medical records of patients who underwent coronary artery bypass grafting at our institute from January 2009 to December 2011. Data were collected in 50 patients with chronic ischemic mitral regurgitation who had mitral ring annuloplasty along with coronary artery bypass grafting. Preoperative data, echocardiographic findings, operative procedure, outcome, and perioperative hemodynamics were analyzed. Early and intermediate follow-up data were also collected and analyzed. RESULTS: There were 3 (6%) early and 9 (18%) late deaths. Of the survivors, 38 (76%) had a significant reduction in left ventricular end-diastolic and end-systolic dimensions and improvement in New York Heart Association functional class. CONCLUSION: Despite a risk of residual regurgitation, mitral ring annuloplasty combined with coronary artery bypass appears to be a good treatment option in selected patients with chronic ischemic mitral regurgitation. SN - 1816-5370 UR - https://www.unboundmedicine.com/medline/citation/24887905/Ring_annuloplasty_for_ischemic_mitral_regurgitation:_a_single_center_experience_ L2 - http://journals.sagepub.com/doi/full/10.1177/0218492313513594?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -