Journals / Koşuyolu Heart Journal / 2023 / Cilt: 26 Sayı: 3

What Happens to Mild-to-Moderate Chronic Ischemic Mitral Regurgitation Following Isolated Coronary Artery Bypass Surgery?

Pages
139–144
Publication Date
2023-11-21
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The efficacy of isolated CABG was demonstrated to improve the degree of mitral regurgitation in selected patients based on echocardiographic measurements.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: The aim of this study was to assess the efficacy of isolated coronary artery bypass grafting (CABG) on preoperatively existing mild-to-moderate chronic ischemic mitral regurgitation.
📊
Key Findings & Data:Patients and Methods: A retrospective analysis was conducted on 30 patients who had coronary artery disease and chronic ischemic mitral regurgitation, and underwent isolated CABG at the Department of Cardiovascular Surgery, Kocaeli University, between January 2012 and February 2014.
💡
Conclusion & Impact:The efficacy of isolated CABG was demonstrated to improve the degree of mitral regurgitation in selected patients based on echocardiographic measurements.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Mitral valve regurgitation · echocardiography · coronary artery bypass surgery

Abstract

Introduction: The aim of this study was to assess the efficacy of isolated coronary artery bypass grafting (CABG) on preoperatively existing mild-to-moderate chronic ischemic mitral regurgitation. Patients and Methods: A retrospective analysis was conducted on 30 patients who had coronary artery disease and chronic ischemic mitral regurgitation, and underwent isolated CABG at the Department of Cardiovascular Surgery, Kocaeli University, between January 2012 and February 2014. Preoperative demographic and clinical characteristics, as well as postoperative outcomes, were evaluated. The degree of IMR, left ventricular ejection fraction (LVEF), left ventricular end-systolic dimension (LVESD), left ventricular end-diastolic dimension (LVEDD), and left atrial dimension (LAD) were assessed preoperatively, and at the postoperative 12th month. Results: There was no mortality during the early postoperative period. There were statistically similar measurements for LVEF, LVESD, LVEDD, and LAD between preoperative and postoperative periods (p> 0.05). However, a decrease in the degree of IMR was detected during the specified periods (p< 0.05). Conclusion: Isolated CABG can be safely performed in patients with mild/moderate chronic ischemic mitral regurgitation. The efficacy of isolated CABG was demonstrated to improve the degree of mitral regurgitation in selected patients based on echocardiographic measurements.

🔖

Cite This Article

DURMAZ, D., GÜNDÖNER, S., TEKÜMİT, H., BERKİ, K. T. (2023). What Happens to Mild-to-Moderate Chronic Ischemic Mitral Regurgitation Following Isolated Coronary Artery Bypass Surgery?. Koşuyolu Heart Journal, Cilt: 26 Sayı: 3, 139–144. https://ajindex.com/articles/1019005

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Bursi F, Enriquez-Sarano M, Nkomo VT, Jacobsen SJ, Weston SA, Meverden RA, et al. Heart failure and death after myocardial infarction in thecommunity: The emerging role of mitral regurgitation. Circulation 2005
  2. 111(3):295-301. https://doi.org/10.1161/01. CIR.0000151097.30779.04 2. Penicka M, Linkova H, Lang O, Fojt R, Kocka V, Vanderheyden M, et al. Predictors of improvement of unrepaired moderate ischemic mitral regurgitation in patients under going elective isolated coronary artery bypass graftsurgery. Circulation 2009
  3. 120(15):1474-81. https://doi.org/10.1161/ CIRCULATIONAHA.108.842104 3. Fattouch K, Guccione F, Sampognaro R, Panzarella G, Corrado E, Navarra E, et al. POINT: Efficacy of adding mitral valve restrictive annuloplasty to coronary artery bypass grafting in patients with moderate ischemic mitral valve regurgitation: A randomized trial. J Thorac Cardiovasc Surg 2009
  4. 138(2):278-85. https://doi.org/10.1016/j.jtcvs.2008.11.010 4. Chan KM, Punjabi PP, Flather M, Wage R, Symmonds K, Roussin I, et al
  5. RIME Investigators. Coronary artery bypass surgery with or without mitral valve annuloplasty in moderate functional ischemic mitral regurgitation: Final results of the Randomized Ischemic Mitral Evaluation (RIME) trial. Circulation 2012
  6. 126(21):2502-10. https://doi.org/10.1161/CIRCULATIONAHA.112.143818 5. Cohn LH. Cardiac surgery in the adult 4th edition, McGraw Hill Professional 2012
  7. Ischemic Mitral Regurgitation 2012
  8. Bates ER, Califf RM, Stack RS, Aronson L, George BS, Candela RJ, et al. Thrombolys is and angioplasty in myocardial infarction (TAMI1) trial: Influence of infarct location on arterial patency, left ventricular function and mortality. J Am Coll Cardiol 1989
  9. 13(1):12-8. https://doi. org/10.1016/0735-1097(89)90542-1 7. Mihos CG, Santana O. Mitral valve repair for ischemic mitral regurgitation: Lessons from the cardiothoracic surgical trials network randomized study. J ThoracDis 2016
  10. 8(1):E94-9. 8. Dudzinski DM, Hung J. Echocardiographic assessment of ischemic mitral regurgitation. Cardiovasc Ultrasound 2014
  11. https://doi. org/10.1186/1476-7120-12-46 9. Hickey MS, Smith LR, Muhlbaier LH, Harrell FE Jr, Reves JG, Hinohara T, et al. Current prognosis of ischemic mitral regurgitation. Implications for future management. Circulation 1988
  12. 78(3 Pt 2):I51-9. 10. Frantz E, Weininger F, Oswald H, Fleck E. Predictors for mitral regurgitation in coronary artery disease, in Vetter HO, Hetzer R, Schmutzler H (eds). Ischemic Mitral Incom