title: Ring annuloplasty for ischemic mitral regurgitation: a single center experience.
abstract: BACKGROUND
  Ischemic mitral regurgitation associated with coronary artery disease presents a management challenge to cardiac surgeons. We report our early and midterm results of chronic ischemic mitral regurgitation treated with concomitant mitral ring annuloplasty and coronary artery bypass grafting.
  
  
  METHODS
  We performed a retrospective review of the medical records of patients who underwent coronary artery bypass grafting at our institute from January 2009 to December 2011. Data were collected in 50 patients with chronic ischemic mitral regurgitation who had mitral ring annuloplasty along with coronary artery bypass grafting. Preoperative data, echocardiographic findings, operative procedure, outcome, and perioperative hemodynamics were analyzed. Early and intermediate follow-up data were also collected and analyzed.
  
  
  RESULTS
  There were 3 (6%) early and 9 (18%) late deaths. Of the survivors, 38 (76%) had a significant reduction in left ventricular end-diastolic and end-systolic dimensions and improvement in New York Heart Association functional class.
  
  
  CONCLUSIONS
  Despite a risk of residual regurgitation, mitral ring annuloplasty combined with coronary artery bypass appears to be a good treatment option in selected patients with chronic ischemic mitral regurgitation.
authors.affiliation: Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.
authors.forename: Amber
authors.initials: A
authors.lastname: Malhotra
authors.affiliation: Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India realpranav@yahoo.com.
authors.forename: Pranav
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Garg
authors.affiliation: Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Bishnoi
authors.affiliation: Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.
authors.forename: Jignesh
authors.initials: J
authors.lastname: Kothari
authors.affiliation: Department of Cardiac Anesthesia, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.
authors.forename: Jigisha
authors.initials: J
authors.lastname: Pujara
mesh_terms: D002908:Chronic Disease; D001026:Coronary Artery Bypass; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty / Q000009:adverse effects / Q000295:instrumentation; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D011474:Prosthesis Design; D020127:Recovery of Function; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Coronary artery bypass; annuloplasty; mitral regurgitation