Should a Cardiac Surgeon Blame Himself for Replacing a Mitral Valve?

Adademir, Taylan; Alp, Mete

doi:10.5935/1678-9741.20160074

Cited by 2 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Percutaneous mitral repair may be an option for these patients. On the other hand, in patients with an acceptable risk profile, mitral repair is performed in IMR in the majority of patients [ 21 , 22 ] . We have performed isolated CABG in patients with high surgical risk and poor perioperative state.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Treatment Strategy of Chronic Ischemic Mitral Regurgitation on Long-Term Outcomes in Coronary Artery Bypass Grafting

Şaşkın¹,

Özcan²,

Idiz³

2017

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

ObjectiveTo investigate the mid- and long-term outcomes of case-based selective strategy of mitral ring annuloplasty during coronary artery bypass grafting in patients with coronary artery disease accompanied by chronic ischemic mitral regurgitation.Methods132 patients who were diagnosed ischemic moderate to severe mitral regurgitation undergoing coronary artery bypass grafting in the same center with the same surgical team were divided into 2 groups and investigated retrospectively. Patients undergoing simultaneous mitral ring annuloplasty and coronary artery bypass grafting were enrolled to group 1 (n=58), patients undergoing isolated coronary artery bypass grafting were enrolled in group 2 (n=74).ResultsThe mean age of the patients were 65.0 ± 9.4 years and 39 (29.5%) of them were female. Preoperative New York Heart Association (NHYA) class (P=0.0001), atrial fibrillation (P=0.006) and the grade of mitral regurgitation (P=0.0001) were significantly different between the groups. Hospitalization for heart failure was required in 6 (10.6%) patients in group 1 and 19 (27.1%) patients in Group 2 (P=0.02). Hospital mortality and one-month postoperative mortality occurred in 2 (3.4%) patients in Group 1 and in 4 (5.4%) patients in Group 2 (P=0.69). Clinical follow-up was completed with 117 (88.6%) patients.ConclusionMitral ring annuloplasty in addition to the coronary artery bypass grafting is associated with improved NYHA functional class, increased ejection fraction, decreased residual mitral regurgitation. Further studies are needed to clarify the role of combined surgery on long-term outcomes. With proper tools and according to the decisions made by heart teams, both management strategies can be safely performed.

show abstract

Section: Discussionmentioning

confidence: 99%

The Effect of Treatment Strategy of Chronic Ischemic Mitral Regurgitation on Long-Term Outcomes in Coronary Artery Bypass Grafting

Şaşkın¹,

Özcan²,

Idiz³

2017

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Yet despite all these developments, rates of valve repair surgery in the developing world is still below par. In Latin America, it is 30% in Colombia, 32% in Chile, 39% in Mexico, and 42% in Brazil during 2013 [1]. We do not have an authentic database in India but according to the industry sources, roughly 9.2% of valves are being repaired, most of which are tricuspid valve repairs (59%) followed by mitral valve (40%).…”

mentioning

confidence: 99%

Disseminating valve repairs—a clarion call

Yadava

2019

Indian J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Should a Cardiac Surgeon Blame Himself for Replacing a Mitral Valve?

Cited by 2 publications

References 6 publications

The Effect of Treatment Strategy of Chronic Ischemic Mitral Regurgitation on Long-Term Outcomes in Coronary Artery Bypass Grafting

The Effect of Treatment Strategy of Chronic Ischemic Mitral Regurgitation on Long-Term Outcomes in Coronary Artery Bypass Grafting

Disseminating valve repairs—a clarion call

Contact Info

Product

Resources

About