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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
References
- Чернявский А.М., Рузматов Т.М., Эфендиев В.У. Влияние коронарного шунтирования и реконструкции левого желудочка на умеренную митральную недостаточность при хирургическом лечении ишемической болезни сердца с низкой фракцией выброса. Патология кровообращения и кардиохирургия 2013; 4: 14-17.
- Adler D.S., Goldman L., O’Neil A., Cook E.F., Mudge G.H. Jr., Shemin R.J. Longterm survival of more than 2,000 patients after coronary artery bypass grafting. Am J Cardiol 1986; 58: 195-202.
- Aklog L., Filsoufi F., Flores K.Q., Chen R.H., Cohn L.H., Nathan N.S. Does coronary artery bypass grafting alone correct moderate ischemic mitral regurgitation? Circulation 2001; 104: 168-175.
- Arcidi J.M. Jr., Hebeler R.F., Craver J.M., Jones E.L., Hatcher C.R. Jr., Guyton R.A. Treatment of moderate mitral regurgitation and coronary disease by coronary bypass alone. J Thorac Cardiovasc Surg 1988; 95: 951-959.
- Braun J., van de Veire N.R., Klautz R.J., Versteegh M.I., Holman E.R., Westenberg J.J. Restrictive mitral annuloplasty cures ischemic mitral regurgitation and heart failure. Ann Thorac Surg 2008; 85: 430-437.
- Duarte I.G., Shen Y., MacDonald M.J., Jones E.L., Craver J.M., Guyton R.A. Treatment of moderate mitral regurgitation and coronary disease by coronary bypass alone: late results. Ann Thorac Surg 1999; 68: 426-430.
- Enriquez Sarano M., Seward J.B., Bailey K.R., Tajik A.T. Effective regurgitant orifice area: a noninvasive Doppler development of an old hemodynamic concept. J Am Coll Cardiol 1994; 23: 443-451.
- Grigioni F., Enriquez-Sarano M., Zehr K.J., Bailey K.R., Tajik A.T. Ischemic mitral regurgitation: long-term outcome and prognostic implications with quantitative Doppler assessment. Circulation 2001; 103: 1759-1764.
- Hickey M.S., Smith L.R., Muhlbaier L.H., Harrell F.E. Jr., Reves J.G., Hinohara T. Current prognosis of ischemic mitral regurgitation. Circulation 1988; 78: 151-159.
- Kang D.H., Kim M.J., Kang S.J., Song J.M., Song H., Hong M.K. Mitral valve repair versus revascularization alone in the treatment of ischemic mitral regurgitation. Circulation 2006; 114 (1): 1499-1503.
- Lancellotti P., Gerard P., Pierad P. Long term outcome of patients with heart failure and dynamic mitral regurgitation. Eur Heart J 2005; 26: 1528-1532.
- Otsuji K., Hanschumacher M.D., Schwammenthal E., Jiang L., Song J-K., Guerrero J.L., Vlahakes G.J., Levine R.A. Insights from three- dimensional echocardiography into the mechanism of functional mitral regurgitation: direct in vivo demonstration of altered leaflet tethering geometry. Circulation 1997; 96: 1999-2008.
- Trichon B.H. Relation of frequency and severity of mitral regurgitation to survival among patients with left ventricular systolic dysfunction and heart failure. The American journal of cardiology 2003; 91 (5): 538-543.
