Recurrent Mitral Regurgitation Late after Annuloplasty for Ischemic Mitral Regurgitation

被引：23

作者：

Shiota, Maiko ^{[2
]}

Gillinov, A. Marc ^{[3
]}

Takasaki, Kunitsugu ^{[2
]}

Fukuda, Shota ^{[2
]}

Shiota, Takahiro ^{[1
,4
]}

机构：

[1] Univ Calif Los Angeles, Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[2] Cleveland Clin, Dept Cardiovasc Med, Cleveland, OH 44106 USA

[3] Cleveland Clin, Dept Thorac & Cardiovasc Surg, Cleveland, OH 44106 USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90048 USA

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2011年 / 28卷 / 02期

关键词：

echocardiography; mitral valve; surgery; DILATED CARDIOMYOPATHY; MECHANISM; REPAIR; ECHOCARDIOGRAPHY; PROGNOSIS; APPARATUS;

D O I：

10.1111/j.1540-8175.2010.01284.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In 106 patients who had mitral annuloplasty for ischemic mitral regurgitation (MR), 71 patients (67%) had satisfactory outcomes with < 2+ MR (grade 0-4) throughout the follow-up period (44 +/- 31 months), while 35 patients (33%) had significant recurrent MR (>= 2+) late after annuloplasty (>= 6 months) during the follow-up period (45 +/- 30 months). Compared to those with recurrent MR, the success group had a significantly higher proportion of patients whose left ventricular (LV) ejection fraction (EF) stayed stable or increased over the follow-up period postoperatively (47/70 = 67% vs. 14/35 = 40%, P < 0.01). The success group had a higher proportion of patients whose LV end-systolic volume stayed stable or decreased (37/63 = 59% vs. 6/35 = 17%, P < 0.01) and lower LV sphericity in systole (0.46 +/- 0.096 vs. 0.60 +/- 0.10, P < 0.01). In conclusion, recurrent ischemic MR after annuloplasty is associated with increasing LV size, decreasing LVEF, and increasing sphericity of the LV. (Echocardiography 2011;28:161-166).

引用

页码：161 / 166

页数：6

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