title: Ischaemic mitral valve regurgitation: a surgical approach.
abstract: The aim of this study IS to determine surgical results after surgical mitral valve repair in ischaemic mitral regurgitation.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Divisione e Cattedra di Cardiochirurgia, Azienda Ospedaliera di Parma.
authors.forename: C
authors.initials: C
authors.lastname: Reverberi
authors.forename: G
authors.initials: G
authors.lastname: De Cicco
authors.forename: C
authors.initials: C
authors.lastname: Beghi
authors.forename: C
authors.initials: C
authors.lastname: Fragnito
authors.forename: B
authors.initials: B
authors.lastname: Borrello
authors.forename: L
authors.initials: L
authors.lastname: Ballore
authors.forename: T
authors.initials: T
authors.lastname: Gherli
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D009204:Myocardial Revascularization / Q000379:methods*; D011183:Postoperative Complications / Q000401:mortality; D011300:Preoperative Care