Midterm follow-up of surgical treatment for ischemic mitral regurgitation
- VernacularTitle:外科治疗缺血性二尖瓣反流的中期随访
- Author:
Lei CHEN
;
Shengshou HU
;
Jianping XU
- Publication Type:Journal Article
- Keywords:
Myocardial ischemia Mitral valve insufficiency Cardiac surgical procedures Follow-up studies
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2003;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the surgical technique and clinical results for surgical treatment of ischemic mitral regurgitation, and midterm follow-up results. Methods From December 1996 to April 2002, 55 patients underwent surgical treatment of ischemic mitral regurgitation. There were 45 males, 10 females with a mean age of (56.63?9.31) years . The cardiac function were NYHA class I～II 7 cases and class III～IV 48 cases. There were 9 mild MR, 28 moderate MR and 18 severe MR. Forty-six patients treated with CABG and concomitant mitral valve correction. Results No operative and postoperative death, No postoperative severe complications. Fifty-three patients were followed up for a mean duration of (45.3?18.7) months, At 5 years and 10 years, survival and event-free survival rates were 85.2% and 72.4%,freedom from reoperation were 82.7% and 70.6%. Conclusion Mitral valve surgery is indicated in patients undergoing coronary artery bypass graft surgery who have moderate or severe ischemic mitral regurgitation,the mitral valvuloplasty was the first select, and the midterm follow-up outcome are satisfactory.
