PMID- 11754806
OWN - NLM
STAT- MEDLINE
DCOM- 20020826
LR  - 20190916
IS  - 0300-8932 (Print)
IS  - 0300-8932 (Linking)
VI  - 54
IP  - 12
DP  - 2001 Dec
TI  - [Risk assessment of mitral valve surgery combined with myocardial 
      revascularization].
PG  - 1377-84
AB  - INTRODUCTION AND OBJECTIVES: Patients with combined mitral valve operation and 
      coronary artery surgery represent a high risk group. The aim of this 
      retrospective study was to evaluate which factors affect early and late 
      postoperative results in this particular group of considered high risk patients. 
      PATIENTS AND METHOD. Between 1984 and 1997, 264 patients (mean age: 63 +/- 7.3 
      years) underwent mitral valve surgery (199 patients; 75% mitral valve 
      replacement, 25% mitral valve repair) in combination with coronary 
      revascularization (mean 2.4 +/- 1.3 grafts). Follow-up comprised a mean of 69 +/- 
      42 months and was 98.3% complete. RESULTS: Early mortality was 10.6% (28/264). 
      Ischemic mitral regurgitation operated on in emergent status, moderate to severe 
      reduced left ventricular function and advanced age (> 60 years) were 
      independently associated with early hospital mortality (p < 0.05). Ischemic 
      etiology of mitral valve disease (emergency and elective operations), severity of 
      mitral regurgitation and New York Heart Association (NYHA) functional class IV 
      were related to early hospital mortality, only with univariate statistics. 
      Actuarial survival was 86, 69 and 48% at 1, 5 and 10 years, respectively. The 
      preoperative NYHA functional class was the only variable independently related to 
      late survival. Eighty-five percent of the surviving patients were in NYHA 
      functional class I and II. CONCLUSIONS: Mitral valve operation combined with 
      coronary artery bypass grafting is associated with a high early hospital 
      mortality. Independent risk factors of early mortality are emergency operation of 
      ischemic mitral valve disease, reduced left ventricular function and advanced 
      age. Long term survival is independently influenced only by preoperative NYHA 
      functional class IV.
FAU - Vazquez-Jimenez, J F
AU  - Vazquez-Jimenez JF
AD  - Departamento de Cirugia Cardiotoracica y Vascular del Hospital Universitario de 
      la RWTH de Aquisgran, Aachen. Alemania, Germany. 
      Jaime.Vazquez-Jimenez@post.klinikum.rwth-aachen.de
FAU - Seipelt, R G
AU  - Seipelt RG
FAU - Schoendube, F A
AU  - Schoendube FA
FAU - Voss, M
AU  - Voss M
FAU - Doerge, H
AU  - Doerge H
FAU - Messmer, B J
AU  - Messmer BJ
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Valoracion del riesgo de la cirugia mitral combinada con la revascularizacion 
      miocardica.
PL  - Spain
TA  - Rev Esp Cardiol
JT  - Revista espanola de cardiologia
JID - 0404277
SB  - IM
MH  - Adult
MH  - Aged
MH  - Coronary Disease/complications/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications/*surgery
MH  - *Myocardial Revascularization
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - Risk Assessment
EDAT- 2002/01/05 10:00
MHDA- 2002/08/27 10:01
CRDT- 2002/01/05 10:00
PHST- 2002/01/05 10:00 [pubmed]
PHST- 2002/08/27 10:01 [medline]
PHST- 2002/01/05 10:00 [entrez]
AID - 13023028 [pii]
AID - 10.1016/s0300-8932(01)76520-7 [doi]
PST - ppublish
SO  - Rev Esp Cardiol. 2001 Dec;54(12):1377-84. doi: 10.1016/s0300-8932(01)76520-7.