PMID- 20842886
OWN - NLM
STAT- MEDLINE
DCOM- 20101020
LR  - 20190918
IS  - 0370-8179 (Print)
IS  - 0370-8179 (Linking)
VI  - 138
IP  - 7-8
DP  - 2010 Jul-Aug
TI  - [Surgical treatment of ishemic mitral regurgitation: repair, replacement or 
      revascularization alone?].
PG  - 425-9
AB  - INTRODUCTION: Treatment of ischemic mitral regurgitation in patients that require 
      revascularization of myocardium is still debatable. OBJECTIVE: The aim of this 
      study was to compare three surgical approaches: valve repair and 
      revascularization; valve replacement and revascularization, and revascularization 
      alone. METHODS: In 2006 and 2007 at the Institute for Cardiovascular Diseases, 
      Clinical Centre of Serbia, Belgrade, 1,040 patients with coronary disease 
      underwent surgery. Forty-three patients (4.3%) had also mitral insufficiency 
      3-4+. The patients were examined clinically, echocardiographically and 
      haemodynamically. In group I there were 14 (32.3%) patients, in group II 16 
      (37.2%) patients and in group III 3 (30.5%) patients. Ninety-three per cent of 
      patients were classified as New York Heart Association (NYHA) class III and IV, 
      and three (7%) patients had congestive heart weakness with ejection fraction < or 
      =30%. The decision as to surgical procedure was made by the surgeon. 
      Postoperatively, patients were checked clinically and echocardiographically after 
      3, 6 and 12 months. The follow-up period was approximately 15 months (8-20). 
      RESULTS: Hospital mortality for the whole group was 6.9% (3 patients). In group I 
      mortality was 14.2% (2 patients), in group II 6.25% and in group III there was no 
      mortality. Long term results, up to 15 months, showed 100% survival in groups I 
      and II, and in group III one patient died (7.7%). CONCLUSION: Short term results 
      upto 30 days were best in group III, but longer term results were better in 
      groups I and II.
FAU - Vrenes, Mile
AU  - Vrenes M
FAU - Velinovic, Milos
AU  - Velinovic M
FAU - Kocica, Mladen
AU  - Kocica M
FAU - Mikic, Aleksandar
AU  - Mikic A
FAU - Putnik, Svetozar
AU  - Putnik S
FAU - Djukic, Petar
AU  - Djukic P
FAU - Djordjevic, Aleksandar
AU  - Djordjevic A
LA  - srp
PT  - English Abstract
PT  - Journal Article
PL  - Serbia
TA  - Srp Arh Celok Lek
JT  - Srpski arhiv za celokupno lekarstvo
JID - 0027440
SB  - IM
MH  - Aged
MH  - Coronary Disease/*complications/surgery
MH  - Female
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Insufficiency/complications/*surgery
MH  - Myocardial Revascularization
EDAT- 2010/09/17 06:00
MHDA- 2010/10/21 06:00
CRDT- 2010/09/17 06:00
PHST- 2010/09/17 06:00 [entrez]
PHST- 2010/09/17 06:00 [pubmed]
PHST- 2010/10/21 06:00 [medline]
AID - 10.2298/sarh1008425v [doi]
PST - ppublish
SO  - Srp Arh Celok Lek. 2010 Jul-Aug;138(7-8):425-9. doi: 10.2298/sarh1008425v.