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- Title
Comparison Of Medium And Long-Term Outcomes Of Mitral Valve Surgery In Patients With Concomitant Ischemic Mitral Regurgitation Undergoing Isolated Coronary Artery Bypass Grafting.
- Authors
Yiğit, Fatih; Tekin, Kudret Atakan; Ak, Adnan; Şişmanoğlu, Mesut
- Abstract
Introduction: Ischemic mitral regurgitation can have a significant impact on morbidity and mortality in patients undergoing coronary bypass surgery. There is ongoing debate over the treatment of moderate mitral regurgitation. In this study, we aimed to examine the mid- and long-term results of treating moderate ischemic mitral regurgitation. MATERIALS AND Methods: This retrospective, cross-sectional, observational study included 126 patients. We analyzed 52 patients in two groups: isolated CABG and CABG+MVR/r. We conducted early period, 1-year, and 5-year echocardiographic and survival analyses of the patients. Results: Our analysis revealed that patients who underwent isolated CABG had higher mitral regurgitation grades at the post-op 1st year (p<0.05), but there was no statistically significant difference in the 5-year follow-up (p>0.05). There was no significant difference between the two groups in terms of 1-year and 5-year survival. The number of revascularized vessels (p=0.007, HR: 0.605 CI:0.421-0.869) and a history of postoperative cerebrovascular disease (p=0.001, HR: 20.794 CI:3.669-117.856) were independent predictive factors affecting survival. Conclusion: Our findings suggest that moderate ischemic mitral regurgitation management requires careful preoperative echocardiographic and clinical evaluation, and postoperative LV remodeling. Accurate quantification of the degree of mitral regurgitation and evaluation of all treatment options in accordance with guideline recommendations are essential.
- Subjects
MITRAL valve surgery; CORONARY artery bypass; MITRAL valve insufficiency; ECHOCARDIOGRAPHY; CLINICAL trials
- Publication
E Journal of Cardiovascular Medicine, 2023, Vol 11, p1
- ISSN
2147-1924
- Publication type
Article