Surgery for ischemic mitral regurgitation: the impact of residual IMR on late survival.
One hundred and twenty two patients with mitral regurgitation grade 3-4 underwent surgery for mitral valve repair with annuloplasty ring. Patient age was 65+/-10 and 89 (73%) were male. Eighty-six (70%) were in NYHA class III-IV, 77 (63%) had reduced LV function, and mean MR grade (+/-SD) was 3,8+/-0,4. One hundred and thirteen operative survivors were followed for 33 months in average. Overall MR grade improved and was 1,6+/-1. Twenty-eight patients (25%) remained with MR grade 3-4. Survival was 70% at 5 years. Predictors for late mortality were LV function, NYHA class IV, and older age. Residual MR did not emerge as a predictor for late mortality.
Lominadze
S
S
Cardiac Surgery Clinic "Open Heart", Tbilisi, Georgia.
Grigolia
G
G
Katsitadze
Z
Z
Mikeltadze
D
D
Khazaradze
D
D
D000368:Aged; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000401:mortality* / Q000601:surgery*; D009203:Myocardial Infarction / Q000150:complications*