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Predictors of failure following restrictive annuloplasty for chronic ischemic mitral regurgitation
M. Troubil, P. Marcian, M. Gwozdziewicz, P. Santavy, K. Langova, P. Nemec, V. Lonsky,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu hodnotící studie, časopisecké články
NLK
Medline Complete (EBSCOhost)
od 2003-01-01
Wiley Online Library (archiv)
od 1997-01-01 do 2012-12-31
ROAD: Directory of Open Access Scholarly Resources
od 1986
- MeSH
- anuloplastika mitrální chlopně MeSH
- chronická nemoc MeSH
- dopplerovská echokardiografie MeSH
- echokardiografie transezofageální MeSH
- koronární bypass MeSH
- lidé MeSH
- logistické modely MeSH
- mitrální chlopeň patologie chirurgie ultrasonografie MeSH
- mitrální insuficience komplikace mortalita chirurgie ultrasonografie MeSH
- mortalita v nemocnicích MeSH
- multivariační analýza MeSH
- následné studie MeSH
- nemoci koronárních tepen komplikace chirurgie MeSH
- neúspěšná terapie MeSH
- recidiva MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- hodnotící studie MeSH
AIM OF THE STUDY: We sought to determine the results of restrictive annuloplasty for chronic ischemic mitral regurgitation. METHODS: Hospital outcome and serial clinical and echocardiographic (preoperative, discharge, 3 months, 12 months, 24 months) follow-up assessments were analyzed in 87 consecutive patients with chronic ischemic mitral regurgitation having coronary artery bypass grafting. Persistent/recurrent mitral regurgitation was defined by grade ≥2 at discharge/during follow-up. RESULTS: Hospital mortality was 5.7% and persistence of regurgitation was present in 8.4%. Mean follow-up was 24.4 ± 1.7 months and recurrent mitral regurgitation was observed in 32.4% patients. In multivariate analysis only anterior leaflet angle remained an independent predictive factor for regurgitation recurrence with cutoff 27° (sensitivity of 67% and specificity of 76%, p = 0.04). CONCLUSION: There is high occurrence of early and delayed restrictive annuloplasty failure, particularly in patients with increased anterior leaflet tethering.
Citace poskytuje Crossref.org
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- $a AIM OF THE STUDY: We sought to determine the results of restrictive annuloplasty for chronic ischemic mitral regurgitation. METHODS: Hospital outcome and serial clinical and echocardiographic (preoperative, discharge, 3 months, 12 months, 24 months) follow-up assessments were analyzed in 87 consecutive patients with chronic ischemic mitral regurgitation having coronary artery bypass grafting. Persistent/recurrent mitral regurgitation was defined by grade ≥2 at discharge/during follow-up. RESULTS: Hospital mortality was 5.7% and persistence of regurgitation was present in 8.4%. Mean follow-up was 24.4 ± 1.7 months and recurrent mitral regurgitation was observed in 32.4% patients. In multivariate analysis only anterior leaflet angle remained an independent predictive factor for regurgitation recurrence with cutoff 27° (sensitivity of 67% and specificity of 76%, p = 0.04). CONCLUSION: There is high occurrence of early and delayed restrictive annuloplasty failure, particularly in patients with increased anterior leaflet tethering.
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