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  • 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 plus/minus 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(sensitivity of 67% and specificity of 76 %, p 0.04). Conclusion: There is high occurrence of early and delayed restrictive annuloplasty failure, particularly in patientswith increased anterior leaflet tethering.
  • 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 plus/minus 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(sensitivity of 67% and specificity of 76 %, p 0.04). Conclusion: There is high occurrence of early and delayed restrictive annuloplasty failure, particularly in patientswith increased anterior leaflet tethering. (en)
Title
  • Predictors of failure following restrictive annuloplasty for chronic ischemic mitral regurgitation
  • Predictors of failure following restrictive annuloplasty for chronic ischemic mitral regurgitation (en)
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  • Predictors of failure following restrictive annuloplasty for chronic ischemic mitral regurgitation
  • Predictors of failure following restrictive annuloplasty for chronic ischemic mitral regurgitation (en)
skos:notation
  • RIV/00098892:_____/12:#0000299!RIV13-MZ0-00098892
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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http://linked.open...titaPredkladatele
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  • 161062
http://linked.open...ai/riv/idVysledku
  • RIV/00098892:_____/12:#0000299
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  • mitral regurgitation, restrictive annuloplasty, cardiac surgery (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [B83F0464576C]
http://linked.open...i/riv/nazevZdroje
  • Journal of Cardiac Surgery
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
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http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 27
http://linked.open...iv/tvurceVysledku
  • Lonský, Vladimír
  • Troubil, Martin
issn
  • 1540-8191
number of pages
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