title: [Mitral valve repair in ischemic cardiomyopathy with severe left ventricular dysfunction].
abstract: Patients with ischemic mitral insufficiency and poor left ventricular function are high operative risks. We present 101 patients who had mitral valve repair in our department: 21 had severely reduced left ventricular function, 19 were in NYHA functional Class IV, and 2 in Class III. All had concomitant coronary artery bypass. There was no early operative mortality, but there were 2 late deaths (9.6%). At follow-up (3-36 months) all valves were functioning normally, 9 patients (43%) were in NYHA functional Class I, and 4 (19%) in Class II. Our experience shows that repair of ischemic mitral insufficiency in the presence of severe left ventricular dysfunction can be performed with good results, and is preferable to mitral valve replacement. Late follow-up showed significant symptomatic improvement.
authors.affiliation: Dept. of Cardiothoracic Surgery, Shaare Zedek Medical Center, Jerusalem.
authors.forename: D
authors.initials: D
authors.lastname: Bitran
authors.forename: O
authors.initials: O
authors.lastname: Merin
authors.forename: J
authors.initials: J
authors.lastname: Fisher
authors.forename: N
authors.initials: N
authors.lastname: Shapira
authors.forename: M W
authors.initials: MW
authors.lastname: Klutstein
authors.forename: S
authors.initials: S
authors.lastname: Silberman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D009202:Cardiomyopathies / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D017202:Myocardial Ischemia / Q000503:physiopathology* / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000601:surgery