PMID- 17659073
OWN - NLM
STAT- MEDLINE
DCOM- 20071101
LR  - 20191210
IS  - 1476-7120 (Electronic)
IS  - 1476-7120 (Linking)
VI  - 5
DP  - 2007 Jul 20
TI  - Predictive value of less than moderate residual mitral regurgitation as assessed 
      by transesophageal echocardiography for the short-term outcomes of patients with 
      mitral regurgitation treated with mitral valve repair.
PG  - 25
AB  - BACKGROUND: Traditionally, in patients with mitral regurgitation (MR) a 
      successful mitral valve repair is considered when residual MR by post-pump 
      transesophageal echocardiography (TEE) is less than moderate or absent. Little is 
      known about the prognostic value of less than moderate (mild or mild-to-moderate) 
      residual MR for the early outcome of patients treated with mitral valve repair. 
      METHODS: Eligible for this study were patients undergoing isolated mitral valve 
      repair. Patients with moderate or severe residual MR after valve repair were 
      excluded. The primary endpoint of the study was the composite of death or need of 
      reintervention. RESULTS: A total of 98 patients (54 with no residual MR-Group 1, 
      and 44 with less than moderate residual MR-Group 2) were analyzed. Of these, 72% 
      presented with New York Heart Association (NYHA) 3/4, and 38% were women. The 
      primary endpoint of the study occurred in 3 (5.5%) patients in Group 1 and 6 
      (13.6%) patients in Group 2 MR (P = 0.31). There was a trend toward a higher 
      incidence of use of inotropic drugs post-interventional (P = 0.12), and a longer 
      hospital stay among patients with less than moderate residual MR (P = 0.18). 
      CONCLUSION: In our study population, patients with less than moderate residual MR 
      had a trend toward a higher risk of early adverse outcomes as compared with 
      patients with no residual MR by post-pump TEE. Studies with a larger patient 
      population and longer follow-up data may be useful to better define the clinical 
      significance of residual mild MR after mitral vale repair.
FAU - Rizza, Antonio
AU  - Rizza A
AD  - CNR-Institute of Clinical Physiology, G, Pasquinucci Hospital, Massa, Italy. 
      rizza@ifc.cnr.it
FAU - Sulcaj, Laureta
AU  - Sulcaj L
FAU - Glauber, Mattia
AU  - Glauber M
FAU - Trianni, Giuseppe
AU  - Trianni G
FAU - Palmieri, Cataldo
AU  - Palmieri C
FAU - Mariani, Massimiliano
AU  - Mariani M
FAU - Maffei, Stefano
AU  - Maffei S
FAU - Berti, Sergio
AU  - Berti S
LA  - eng
PT  - Journal Article
DEP - 20070720
PL  - England
TA  - Cardiovasc Ultrasound
JT  - Cardiovascular ultrasound
JID - 101159952
SB  - IM
MH  - Aged
MH  - *Echocardiography, Transesophageal
MH  - Female
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/*diagnostic imaging/etiology/*surgery
MH  - Mitral Valve Prolapse/complications
MH  - Outcome and Process Assessment, Health Care
MH  - Predictive Value of Tests
MH  - Reoperation/statistics & numerical data
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Ventricular Dysfunction, Left/complications
PMC - PMC1994671
EDAT- 2007/07/31 09:00
MHDA- 2007/11/02 09:00
PMCR- 2007/07/20
CRDT- 2007/07/31 09:00
PHST- 2007/06/06 00:00 [received]
PHST- 2007/07/20 00:00 [accepted]
PHST- 2007/07/31 09:00 [pubmed]
PHST- 2007/11/02 09:00 [medline]
PHST- 2007/07/31 09:00 [entrez]
PHST- 2007/07/20 00:00 [pmc-release]
AID - 1476-7120-5-25 [pii]
AID - 10.1186/1476-7120-5-25 [doi]
PST - epublish
SO  - Cardiovasc Ultrasound. 2007 Jul 20;5:25. doi: 10.1186/1476-7120-5-25.