Surgical treatment of functional mitral regurgitation in dilated cardiomyopathy

被引:3
作者
Al-Amri, Hussein S. [1 ]
Al-Moghairi, Abdulrahman M. [1 ]
El Oakley, Rieda M. [2 ]
机构
[1] Prince Sultan Cardiac Ctr, Adult Cardiol Dept, Riyadh, Saudi Arabia
[2] Benghazi Med Ctr, Dept Surg, Benghazi, Libya
关键词
Cardiomyopathy; Functional mitral regurgitation; Heart failure;
D O I
10.1016/j.jsha.2011.04.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Functional mitral regurgitation is a significant complication of end-stage cardiomyopathy. Dysfunction of one or more components of the mitral valve apparatus occurs in 39-74% and affects almost all heart failure patients. Survival is decreased in subjects with more than mild mitral regurgitation irrespective of the aetiology of heart failure. The goal of treating functional mitral regurgitation is to slow or reverse ventricular remodelling, improve symptoms and functional class, decrease the frequency of hospitalization for congestive heart failure, slow progression to advanced heart failure (time to transplant) and improve survival. This article reviews the role of mitral valve surgery in patients with heart failure and dilated cardiomyopathy. (C) 2011 King Saud University. Production and hosting by Elsevier B.V. All rights reserved.
引用
收藏
页码:125 / 134
页数:10
相关论文
共 111 条
[21]   Mitral valve procedure in dilated cardiomyopathy:: Repair or replacement? [J].
Calafiore, AM ;
Gallina, S ;
Di Mauro, M ;
Gaeta, F ;
Iacò, AL ;
D'Alessandro, S ;
Mazzei, V ;
Di Giammarco, G .
ANNALS OF THORACIC SURGERY, 2001, 71 (04) :1146-1152
[22]   Is it ever too late to operate on the patient with valvular heart disease? [J].
Carabello, BA .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (02) :376-383
[23]   The current therapy for mitral regurgitation [J].
Carabello, Blase A. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (05) :319-326
[24]  
Chen FY, 1998, CIRCULATION, V98, pII124
[25]   Cardiac remodeling-concepts and clinical implications: A consensus paper from an international forum on cardiac remodeling [J].
Cohn, JN ;
Ferrari, R ;
Sharpe, N .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (03) :569-582
[26]   MITRAL REGURGITATION AND DEATH WHILE AWAITING CARDIAC TRANSPLANTATION [J].
CONTI, JB ;
MILLS, RM .
AMERICAN JOURNAL OF CARDIOLOGY, 1993, 71 (07) :617-618
[27]   Late outcomes of mitral valve repair for floppy valves: Implications for asymptomatic patients [J].
David, TE ;
Ivanov, J ;
Armstrong, S ;
Rakowski, H .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2003, 125 (05) :1143-1152
[28]   Recurrence of mitral regurgitation parallels the absence of left ventricular reverse remodeling after mitral repair in advanced dilated cardiomyopathy [J].
De Bonis, Michele ;
Lapenna, Elisabetta ;
Verzini, Alessandro ;
La Canna, Giovanni ;
Grimaldi, Antonio ;
Torracca, Lucia ;
Maisano, Francesco ;
Alfieri, Ottavio .
ANNALS OF THORACIC SURGERY, 2008, 85 (03) :932-939
[29]   ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008 [J].
Dickstein, Kenneth ;
Cohen-Solal, Alain ;
Filippatos, Gerasimos ;
McMurray, John J. V. ;
Ponikowski, Piotr ;
Poole-Wilson, Philip Alexander ;
Stromberg, Anna ;
van Veldhuisen, Dirk J. ;
Atar, Dan ;
Hoes, Arno W. ;
Keren, Andre ;
Mebazaa, Alexandre ;
Nieminen, Markku ;
Priori, Silvia Giuliana ;
Swedberg, Karl .
EUROPEAN HEART JOURNAL, 2008, 29 (19) :2388-2442
[30]   Phenotyping hypertrophy - Eschew obfuscation [J].
Dorn, GW ;
Robbins, J ;
Sugden, PH .
CIRCULATION RESEARCH, 2003, 92 (11) :1171-1175