PMID- 18485009
OWN - NLM
STAT- MEDLINE
DCOM- 20090130
LR  - 20161124
IS  - 1540-8175 (Electronic)
IS  - 0742-2822 (Linking)
VI  - 25
IP  - 8
DP  - 2008 Sep
TI  - Transient severe mitral regurgitation after mitral valve repair is associated 
      with a poor clinical outcome: a small case series.
PG  - 835-9
LID - 10.1111/j.1540-8175.2008.00698.x [doi]
AB  - BACKGROUND: During mitral valve repair, patients with transesophageal 
      echo-detected immediate postoperative systolic anterior motion of the mitral 
      valve (SAM) and mitral regurgitation (MR) are successfully medically managed. 
      They have been shown to do well in a short-term follow-up. However, the long-term 
      outcome has not been investigated. The objective of this project was to 
      investigate the long-term outcome of these patients. METHODS: This is an 
      observational, retrospective study of 385 patients who underwent MVR. All cases 
      of SAM and MR in this report were successfully medically managed with 
      conservative therapy preventing the need for immediate surgical reintervention. 
      Patients were divided into two groups based on the severity of MR. Group I had 
      grade <or= 2 + MR (<moderate) and Group II had >or= 3+(moderate or severe). 
      Repeat MV surgical procedure or admission to the hospital for congestive heart 
      failure with New York Heart Association (NYHA) Class III or Class IV was 
      identified as a poor outcome. RESULTS: Twelve patients (3.1 %) were identified as 
      having SAM with MR, which was medically managed intraoperatively. Patients were 
      followed an average of 35 months. There were four patients (33.3%) in Group II. 
      None of the eight patients (0%) in Group I had a poor outcome whereas three of 
      the four patients (75%) in Group II had a poor outcome (OR = 3; P value = 0.018). 
      CONCLUSION: These data suggest that despite the immediate improvement in MR and 
      SAM, it is the degree of transient MR that further stratifies patients into good 
      or poor long-term outcomes.
FAU - Sorrell, Vincent L
AU  - Sorrell VL
AD  - University of Arizona, Sarver Heart Center, Tucson, Arizona, USA. 
      vsorrell@email.arizona.edu
FAU - Habibzadeh, Mohammad R
AU  - Habibzadeh MR
FAU - Kalra, Nishant
AU  - Kalra N
FAU - Chitwood, W Randolph
AU  - Chitwood WR
LA  - eng
PT  - Journal Article
DEP - 20080514
PL  - United States
TA  - Echocardiography
JT  - Echocardiography (Mount Kisco, N.Y.)
JID - 8511187
SB  - IM
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Longitudinal Studies
MH  - Mitral Valve Insufficiency/*diagnostic imaging/*surgery
MH  - Prognosis
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Ultrasonography
EDAT- 2008/05/20 09:00
MHDA- 2009/01/31 09:00
CRDT- 2008/05/20 09:00
PHST- 2008/05/20 09:00 [pubmed]
PHST- 2009/01/31 09:00 [medline]
PHST- 2008/05/20 09:00 [entrez]
AID - ECHO698 [pii]
AID - 10.1111/j.1540-8175.2008.00698.x [doi]
PST - ppublish
SO  - Echocardiography. 2008 Sep;25(8):835-9. doi: 10.1111/j.1540-8175.2008.00698.x. 
      Epub 2008 May 14.