Left ventricular restoration for ischemic cardiomyopathy - Comparison of presence and absence of mitral valve procedure
European Journal of Cardio-thoracic Surgery, ISSN: 1010-7940, Vol: 23, Issue: 4, Page: 614-619
2003
- 28Citations
- 23Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations28
- Citation Indexes28
- 28
- CrossRef19
- Captures23
- Readers23
- 23
Conference Paper Description
Objective: Association of mitral regurgitation (MR) with ischemic cardiomyopathy (ICM) increases the degree of heart failure and its surgical management remains controversial. The aim of this study was to report the surgical results in patients with or without MR in association with ICM. Patients and methods: Ninety-two patients with ischemic cardiomyopathy (left ventricular [LV] ejection fraction less than 30% with global akinesis) underwent LV restoration. Pre-operative New York Heart Association (NYHA) functional class was either in class-3 or -4 in all patients. MR was moderate to severe in 38 patients (MR-group) and none or mild in 54 patients (noMR-group). Moderate to severe MR was repaired in addition to the complete coronary artery bypass (CABG) and LV restoration. All patients were followed up and echocardiogram was repeated every 6 months after the surgery. Results: The procedure of LV restoration was selected pre- and intra-operative examination and endoventricular circular patch plasty was performed in 76, partial left ventricle resection in three, and sepal anterior exclusion in 13. CABG was performed in 85 patients with mean 2.4±1.1 grafts in MR-group and 3.2±0.4 grafts in noMR-group (P<0.0001). In MR-group mitral valve plasty was performed in 24 and replacement in 14. Undersized (26 or 28mm) circumferential mitral ring was used in 16 patients for mitral plasty. Emergent operation required in 15 patients (13 in MR-group and two in noMR group) and the hospital mortality was 18.4% in MR-group and 3.7% in no MR-group. Mitral regurgitation recurred in two patients with posterior ring annuloplasty and they underwent valve replacement. The post-operative NYHA functional class improved to class-1 or -2 in 65 patients and cumulative survival in 5 years including emergent and hospital deaths was 60.9% in MR-group and 70.1% in noMR-group. Conclusion: In association of MR to ICM, emergent operation required more often and perioperative mortality rate was high. However, the aggressive combined mitral operation in addition to CABG and LV restoration showed the improvement of clinical symptom and quality of life after the surgery. © 2003 Elsevier Science B.V. All rights reserved.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=0037383179&origin=inward; http://dx.doi.org/10.1016/s1010-7940(03)00005-8; http://www.ncbi.nlm.nih.gov/pubmed/12694786; https://academic.oup.com/ejcts/article-lookup/doi/10.1016/S1010-7940(03)00005-8; http://academic.oup.com/ejcts/article-pdf/23/4/614/17809900/23-4-614.pdf; http://dx.doi.org/10.1016/s1010-7940%2803%2900005-8; https://dx.doi.org/10.1016/s1010-7940%2803%2900005-8; https://academic.oup.com/ejcts/article/23/4/614/385143
Oxford University Press (OUP)
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