2017
DOI: 10.1055/s-0036-1598012 View full text |Buy / Rent full text
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Abstract: Moderate mitral regurgitation (MR) of ischemic etiology has been associated with worse outcomes after coronary artery bypass grafting (CABG). Studies comparing concomitant mitral valve replacement/repair (MVR/Re) with CABG and standalone CABG have reported conflicting results. We performed a systematic review and meta-analysis of the published literature. We searched using PubMed, Cochrane, EMBASE, CINAHL, and Google scholar databases from January 1960 to June 2016 for clinical trials comparing CABG to CABG + … Show more

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“…I have read the article entitled "Surgical Repair of Moderate Ischemic Mitral Regurgitation-A Systematic Review and Metaanalysis" by Anantha Narayanan et al, 1 recently published in this journal, with great interest. The investigators reported that concomitant mitral valve surgery for moderate ischemic mitral regurgitation (MR) at the time of surgical revascularization does not support the addition of mitral valve replacement/repair to standard coronary artery bypass grafting (CABG) surgery.…”
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…I have read the article entitled "Surgical Repair of Moderate Ischemic Mitral Regurgitation-A Systematic Review and Metaanalysis" by Anantha Narayanan et al, 1 recently published in this journal, with great interest. The investigators reported that concomitant mitral valve surgery for moderate ischemic mitral regurgitation (MR) at the time of surgical revascularization does not support the addition of mitral valve replacement/repair to standard coronary artery bypass grafting (CABG) surgery.…”
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“…Further research should focus on identifying subgroups of patients with moderate ischemic MR who may benefit from mitral surgery with CABG, such as those with large areas of infarct without viable myocardium who would theoretically not be expected to benefit from revascularization alone. 1 Secondary MR is caused by progressive left ventricular remodeling and dilatation after myocardial injury and has been estimated to affect 1.6 to 2.8 million people in the United States. 2 Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery (SYNTAX) score is an angiographic scoring system and is widely used to evaluate the severity and complexity of coronary artery disease (CAD).…”
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