Improved myocardial function after combined coronary revascularization and mitral valve downsizing in patients with ischemic mitral regurgitation and advanced cardiomyopathy

被引:0
作者
Geidel, S. [1 ]
Krause, K. [2 ]
Schneider, C. [2 ]
Groth, G. [2 ]
Lass, M. [1 ]
Betzold, M. [1 ]
Boczor, S. [2 ]
Kuck, K-H [2 ]
Ostermeyer, J. [1 ]
机构
[1] Asklepios Klin St Georg, Abt Herzchirurg, Hanseat Herzzentrum, Lohmuhlenstr 5, D-20099 Hamburg, Germany
[2] Asklepios Klin St Georg, Abt Kardiol, Hanseat Herzzentrum, Hamburg, Germany
来源
ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE | 2006年 / 20卷 / 03期
关键词
Ischemic mitral regurgitation; mitral valve repair; reverse myocardial remodeling; remodeling; restrictive annuloplasty;
D O I
10.1007/s00398-006-0538-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In patients with coronary artery disease, ischemic cardiomyopathy and chronic ischemic mitral valve regurgitation grade 3-4+ combined mitral valve downsizing and coronary artery bypass grafting corrected mitral insufficiency in all patients with low early and late mortality. A significant increase of left ventricular contractility at short-term and mid-term follow-up and a reduction of left atrial and ventricular dimensions/volumes after surgery due to reverse myocardial remodeling were observed.
引用
收藏
页码:113 / 121
页数:9
相关论文
共 26 条
[1]  
Agricola Eustachio, 2004, Eur J Echocardiogr, V5, P326, DOI 10.1016/j.euje.2004.03.001
[2]  
Aklog L, 2001, CIRCULATION, V104, pI68
[3]   Restrictive annuloplasty and coronary revascularization in ischemic mitral regurgitation results in reverse left ventricular remodeling [J].
Bax, JJ ;
Braun, J ;
Somer, ST ;
Klautz, R ;
Holman, ER ;
Versteegh, MIM ;
Boersma, E ;
Schalij, MJ ;
van der Wall, EE ;
Dion, RA .
CIRCULATION, 2004, 110 (11) :II103-II108
[4]   EARLY OUTCOME OF MITRAL-VALVE RECONSTRUCTION IN PATIENTS WITH END-STAGE CARDIOMYOPATHY [J].
BOLLING, SF ;
DEEB, GM ;
BRUNSTING, LA ;
BACH, DS .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 109 (04) :676-683
[5]  
CARPENTIER A, 1983, J THORAC CARDIOV SUR, V86, P323
[6]   Percutaneous mitral valve repair for chronic ischemic mitral regurgitation - A real-time three-dimensional echocardiographic study in an ovine model [J].
Daimon, M ;
Shiota, T ;
Gillinov, AM ;
Hayase, M ;
Ruel, M ;
Cohn, WE ;
Blacker, SJ ;
Liddicoat, JR .
CIRCULATION, 2005, 111 (17) :2183-2189
[7]   Anatomic and physiologic correction of the restricted posterior mitral leaflet motion in chronic ischemic mitral regurgitation [J].
Dobre, M ;
Koul, B ;
Rojer, A .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2000, 120 (02) :409-411
[8]   Three years experience with monopolar and bipolar radiofrequency ablation surgery in patients with permanent atrial fibrillation [J].
Geidel, S ;
Ostermeyer, J ;
Lass, M ;
Betzold, M ;
Duong, A ;
Jensen, F ;
Boczor, S ;
Kuck, KH .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2005, 27 (02) :243-249
[9]   Downsizing of the mitral valve and coronary revascularization in severe ischemic mitral regurgitation results in reverse left ventricular and left atrial remodeling [J].
Geidel, S ;
Lass, M ;
Schneider, C ;
Groth, G ;
Boczor, S ;
Kuck, KH ;
Ostermeyer, J .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2005, 27 (06) :1011-1016
[10]  
Geidel S, 2005, HAMBURGER ARZTEBLATT, V2, P60