Title Išeminės kilmės mitralinio vožtuvo nesandarumo korekcija : ankstyvieji ir vėlyvieji rezultatai /
Translation of Title Mitral valve repair for ischemic mitral insufficiency: early and late results.
Authors Gatelienė, Eglė ; Uždavinys, Giedrius ; Ivaškevičienė, Loreta ; Butkuvienė, Irena ; Šemetienė, Giedrė ; Nogienė, Giedrė
DOI 10.15388/LietChirur.2007.3.2205
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Is Part of Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 348-354.. ISSN 1392-0995
Keywords [eng] ischemic heart disease ; ischemic mitral insufficiency ; mitral valve repair
Abstract [eng] Objective: The aim of the study was to evaluate the patients' (pts) survival and functional status changes after ischemic mitral insufficiency (IMI) repair; to determine residual mitral regurgitation (MR) and reoperation rate. Patients and methods: The study group consisted of 70 pts who underwent mitral valve (MV) repair for IMI with concomitant coronary artery bypass grafting (CABG) at Vilnius University Cardiac Surgery Centre between 2000 and 2006. We analysed general clinical data, NYHA functional class, LVEF, mitral valve repair procedures, data of echocardiography before and after the operation. Results: The one-year survival was 65%, two-year survival 61%, and 6-year survival 50%. In-hospital mortality was high (21.4%) due to the poor preoperative status. Late mortality was rather low - 7.2 % in 6 years. Regardless of the mitral valve repair technique, a significant reduction of MR: early - from 2.83 ± 0.38 to 0.87 ± 0.34 (p < 0,001) and late - from 2.83 ± 0.38 to 1.03 ± 0.59 (p < 0.001) - was observed. The NYHA functional class changed from 3.73 ± 0.51 to 2.27 ± 1.12 (p < 0.001), the LVEF - from 29.28 ± 9.27% to 32.03 ± 11.36% (p < 0.01). In our series we had 12.7% (7 pts) of residual MR after repair and 5.5% (3 pts) of reoperations. Conclusions: Ring-free mitral valve repair is an effective method of treatment for ischemic mitral insufficiency: the patients' postoperative status improved significantly in terms of MR, NYHA functional class, LVEF. One-year survival was 65%, two-year survival 61%, and 6-year survival 50%. Residual MR after repair (12.7%) and reoperation rate (5.5%) were acceptable.
Type Journal article
Language Lithuanian
Publication date 2007
CC license CC license description