| Autor: |
C, Reverberi, G, De Cicco, C, Beghi, C, Fragnito, B, Borrello, L, Ballore, T, Gherli |
| Rok vydání: |
2002 |
| Předmět: |
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| Zdroj: |
Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma. 72(3-4) |
| Popis: |
The aim of this study IS to determine surgical results after surgical mitral valve repair in ischaemic mitral regurgitation.Between January 1999 and June 2000, 64 patients (5.1% of overall patients) underwent myocardial revascularization and mitral valve surgery. A Cosgrove-Edwards mitral annuloplasty ring was used in 59 cases (92.2%). Average patient age was 64.3 +/- 12.4 years (38 males, 21 females). Average degree of mitral regurgitation was 2.8 +/- 0.6. Average NYHA class was 3.5 +/- 0.5. Average ejection fraction (EF) was 40 +/- 12.5 percent.Post-operative 30-day mortality was 3.4% (2 patients). The follow-up was complete for 95 percent (mean 20.4 +/- 4.8 months for patients) and data showed an improvement of NYHA class (mean value 1.8 +/- 0.2) (p = 0.01) and ejection fraction (mean value 51.7 +/- 10.2) (p = 0.05) with residual mitral regurgitation value of 0.6 +/- 0.7.Mitral valve repair in coronary artery disease improves left ventricular function, quality of life and survival rate with low operative risk. Perioperative transesophageal echocardiography has a central role in surgical decision making. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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