Ischemic mitral regurgitation: Recent advances

被引:11
作者
Anyanwu A.C. [1 ]
Adams D.H. [1 ]
机构
[1] Department of Cardiothoracic Surgery, Mount Sinai Hospital, New York, NY 10029
关键词
Mitral Valve; Mitral Regurgitation; Papillary Muscle; Mitral Valve Replacement; Mitral Valve Repair;
D O I
10.1007/s11936-008-0045-6
中图分类号
学科分类号
摘要
This article reviews recent developments in the pathophysiology and management of ischemic mitral regurgitation. Recent imaging studies using three-dimensional echocardiography have added clarity to the mechanism responsible for this condition. This article also discusses recent studies on outcomes of surgical repair, including current results and potential risks of restrictive annuloplasty. Because of the limitations imposed by restrictive annuloplasty, adjunctive surgical methods focusing on the left ventricle or papillary muscles are being investigated to address this disease. In the interim, a downsized complete rigid or semirigid annuloplasty repair appears to offer good midterm outcomes. © Springer Science+Business Media, LLC 2008.
引用
收藏
页码:529 / 537
页数:8
相关论文
共 29 条
  • [1] Anyanwu A., Rahmanian P.B., Filsoufi F., Adams D.H., The pathophysiology of ischemic mitral regurgitation: Implications for surgical and percutaneous intervention, J Interv Cardiol, 19, 5 SUPPL., (2006)
  • [2] Carpentier A., Cardiac valve surgery-the "French correction, J Thorac Cardiovasc Surg, 86, pp. 323-337, (1983)
  • [3] Adams D.H., Anyanwu A., Pitfalls and limitations in measuring and interpreting the outcomes of mitral valve repair, J Thorac Cardiovasc Surg, 131, pp. 523-529, (2006)
  • [4] Ryan L.P., Salgo I.S., Gorman R.C., Gorman III J.H., The emerging role of three-dimensional echocardiography in mitral valve repair, Semin Thorac Cardiovasc Surg, 18, pp. 126-134, (2006)
  • [5] Ryan L., Jackson B., Parish L., Et al., Quantification and localization of mitral valve tenting in ischemic mitral regurgitation using real-time three-dimensional echocardiography, Eur J Cardiothorac Surg, 31, pp. 834-839, (2007)
  • [6] Watanabe N., Ogasawara Y., Yamaura Y., Et al., Geometric differences of the mitral valve tenting between anterior and inferior myocardial infarction with significant ischemic mitral regurgitation: Quantitation by novel software system with transthoracic real-time three-dimensional echocardiography, J Am Soc Echocardiogr, 19, pp. 71-75, (2006)
  • [7] Song J.M., Qin J.X., Kongsaerepong V., Et al., Determinants of ischemic mitral regurgitation in patients with chronic anterior wall myocardial infarction: A real time three-dimensional echocardiography study, Echocardiography, 23, pp. 650-657, (2006)
  • [8] Filsoufi F., Salzberg S.P., Adams D.H., Current management of ischemic mitral regurgitation, Mt Sinai J Med, 72, pp. 105-115, (2005)
  • [9] Aronson D., Goldsher N., Zukermann R., Et al., Ischemic mitral regurgitation and risk of heart failure after myocardial infarction, Arch Intern Med, 166, pp. 2362-2368, (2006)
  • [10] Grigioni F., Enriquez-Sarano M., Zehr K.J., Et al., Ischemic mitral regurgitation: Long-term outcome and prognostic implications with quantitative Doppler assessment, Circulation, 103, pp. 1759-1764, (2001)