Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone?
Introduction. Treatment of ischemic mitral regurgitation in patients that require revascularization of myocardium is still debatable. Objective. The aim of this study was to compare three surgical approaches: valve repair and revascularization; valve replacement and revascularization, and revascular...
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Serbian Medical Society
2010-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791008425V.pdf |
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| author | Vraneš Mile Velinović Miloš Kočica Mladen Mikić Aleksandar Putnik Svetozar Đukić Petar Đorđević Aleksandar |
| author_facet | Vraneš Mile Velinović Miloš Kočica Mladen Mikić Aleksandar Putnik Svetozar Đukić Petar Đorđević Aleksandar |
| author_sort | Vraneš Mile |
| collection | DOAJ |
| description | Introduction. Treatment of ischemic mitral regurgitation in patients that require revascularization of myocardium is still debatable. Objective. The aim of this study was to compare three surgical approaches: valve repair and revascularization; valve replacement and revascularization, and revascularization alone. Methods. In 2006 and 2007 at the Institute for Cardiovascular Diseases, Clinical Centre of Serbia, Belgrade, 1,040 patients with coronary disease underwent surgery. Forty-three patients (4.3%) had also mitral insufficiency 3-4+. The patients were examined clinically, echocardiographically and haemodynamically. In group I there were 14 (32.3%) patients, in group II 16 (37.2%) patients and in group III 3 (30.5%) patients. Ninetythree per cent of patients were classified as New York Heart Association (NYHA) class III and IV, and three (7%) patients had congestive heart weakness with ejection fraction ≤30%. The decision as to surgical procedure was made by the surgeon. Postoperatively, patients were checked clinically and echocardiographically after 3, 6 and 12 months. The follow-up period was approximately 15 months (8-20). Results. Hospital mortality for the whole group was 6.9% (3 patients). In group I mortality was 14.2% (2 patients), in group II 6.25% and in group III there was no mortality. Long term results, up to 15 months, showed 100% survival in groups I and II, and in group III one patient died (7.7%). Conclusion. Short term results up to 30 days were best in group III, but longer term results were better in groups I and II. |
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| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-20T01:14:00Z |
| publishDate | 2010-01-01 |
| publisher | Serbian Medical Society |
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| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-ac85acf92e984edf835cd5cd121492d32022-12-21T19:58:37ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792010-01-011387-842542910.2298/SARH1008425VSurgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone?Vraneš MileVelinović MilošKočica MladenMikić AleksandarPutnik SvetozarĐukić PetarĐorđević AleksandarIntroduction. Treatment of ischemic mitral regurgitation in patients that require revascularization of myocardium is still debatable. Objective. The aim of this study was to compare three surgical approaches: valve repair and revascularization; valve replacement and revascularization, and revascularization alone. Methods. In 2006 and 2007 at the Institute for Cardiovascular Diseases, Clinical Centre of Serbia, Belgrade, 1,040 patients with coronary disease underwent surgery. Forty-three patients (4.3%) had also mitral insufficiency 3-4+. The patients were examined clinically, echocardiographically and haemodynamically. In group I there were 14 (32.3%) patients, in group II 16 (37.2%) patients and in group III 3 (30.5%) patients. Ninetythree per cent of patients were classified as New York Heart Association (NYHA) class III and IV, and three (7%) patients had congestive heart weakness with ejection fraction ≤30%. The decision as to surgical procedure was made by the surgeon. Postoperatively, patients were checked clinically and echocardiographically after 3, 6 and 12 months. The follow-up period was approximately 15 months (8-20). Results. Hospital mortality for the whole group was 6.9% (3 patients). In group I mortality was 14.2% (2 patients), in group II 6.25% and in group III there was no mortality. Long term results, up to 15 months, showed 100% survival in groups I and II, and in group III one patient died (7.7%). Conclusion. Short term results up to 30 days were best in group III, but longer term results were better in groups I and II.http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791008425V.pdfischemic mitral valve regurgitationcoronary artery diseaserevascularizationrepair of mitral valvemitral valve replacement |
| spellingShingle | Vraneš Mile Velinović Miloš Kočica Mladen Mikić Aleksandar Putnik Svetozar Đukić Petar Đorđević Aleksandar Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone? Srpski Arhiv za Celokupno Lekarstvo ischemic mitral valve regurgitation coronary artery disease revascularization repair of mitral valve mitral valve replacement |
| title | Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone? |
| title_full | Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone? |
| title_fullStr | Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone? |
| title_full_unstemmed | Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone? |
| title_short | Surgical treatment of ishemic mitral regurgitation: Repair, replacement or revascularization alone? |
| title_sort | surgical treatment of ishemic mitral regurgitation repair replacement or revascularization alone |
| topic | ischemic mitral valve regurgitation coronary artery disease revascularization repair of mitral valve mitral valve replacement |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791008425V.pdf |
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