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Post a Comment RESULTS OF SINGLE-STAGE CORRECTION OF ISCHEMIC MITRAL INSUFFICIENCY AND CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH COMPLICATED IHD FORMS
- Authors: Chragyan VA1, Arutyunyan VB1
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Affiliations:
- Федеральный центр сердечно-сосудистой хирургии им. С.Г. Суханова
- Issue: Vol 34, No 3 (2017)
- Pages: 25-32
- Section: Articles
- URL: https://journals.rcsi.science/PMJ/article/view/6819
- DOI: https://doi.org/10.17816/pmj34325-32
- ID: 6819
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Abstract
Aim. The influence of mitral valve plasty on the dynamics of mitral regurgitation, risk of perioperative lethality and long-term survival rate was assessed in patients with the left ventricular ejection fraction less than 35 % in case of moderate mitral regurgitation. Materials and methods. Analysis of ischemic mitral insufficiency in case of isolated coronary bypass grafting and mitral valve plasty associated with coronary artery bypass grafting is presented in the paper. During the period from 2008 to 2011 seventy six patients, who were randomized into one of two groups, participated in the study: group 1 - coronary artery bypass grafting associated with mitral valve plasty (38 patients), group 2 - isolated coronary bypass surgery (38 patients). These patients underwent control examination before the operation, when discharged from the hospital and in the follow-up period. Results. Analysis of patients’ long-term survival rate indicated the efficiency of mitral valve plasty compared with isolated coronary bypass grafting. Predictors of relapse and mitral insufficiency progression were determined. Lethality predictors, estimated in the follow-up period, demonstrated a significant influence of heart failure class, pulmonary hypertension class and mitral valve progression.
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##article.viewOnOriginalSite##About the authors
V A Chragyan
Федеральный центр сердечно-сосудистой хирургии им. С.Г. Суханова
Email: doc-vahe@mail.ru
кандидат медицинских наук, заведующий отделением 614013, г. Пермь, ул. Маршала Жукова, 35, тел. 8(342)2398736, 8(342)2398733
V B Arutyunyan
Федеральный центр сердечно-сосудистой хирургии им. С.Г. Сухановакандидат медицинских наук, заведующий отделением 614013, г. Пермь, ул. Маршала Жукова, 35, тел. 8(342)2398736, 8(342)2398733
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