PMID- 31552590
OWN - NLM
STAT- MEDLINE
DCOM- 20201013
LR  - 20201013
IS  - 1863-6713 (Electronic)
IS  - 1863-6705 (Linking)
VI  - 68
IP  - 5
DP  - 2020 May
TI  - Moderate ischemic mitral incompetence: does it worth more ischemic time?
PG  - 492-498
LID - 10.1007/s11748-019-01212-5 [doi]
AB  - OBJECTIVES: Ischemic mitral regurgitation (IMR) is a common finding following 
      myocardial infarction or ischemia. Management of moderate IMR is still a hot 
      topic. Adding mitral valve repair (MVr) to coronary artery bypass grafting (CABG) 
      is questionable. The goal of this study was to assess and compare short-term 
      clinical and echocardiographic results of moderate IMR treated by CABG alone 
      versus another group of patients treated by CABG plus MVr. METHODS: Eighty 
      consecutive patients with ischemic heart disease (IHD) and moderate IMR were 
      divided randomly into two equal groups: group I (40) had only CABG and group II 
      (40) had CABG plus MVr. Patients were evaluated at 1-week, 3-months and 1-year 
      intervals postoperatively. RESULTS: After 1-year follow-up, our study revealed 
      statistically significant improvement in the grade of mitral regurgitation (MR) 
      in group II than group I. The mean value for effective regurgitant orifice area 
      (EROA) was 0.22 +/- 0.13 for group I versus 0.03 +/- 0.03 for group II (P = 0.001) 
      and for vena contracta (VC), it was 3.8 +/- 2.24 for group I versus 0.4 +/- 0.49 for 
      group II (P = 0.000). There was also a significant reduction in the New York 
      Heart Association (NYHA) functional class in both groups. CONCLUSIONS: MVr can be 
      performed safely and concomitantly with CABG in patients having moderate IMR, and 
      its addition to CABG have significant short-term impact on clinical or 
      echocardiographic outcome of patients.
FAU - El-Hag-Aly, Mohammed A
AU  - El-Hag-Aly MA
AD  - Cardiothoracic Surgery Department, Faculty of Medicine, Menoufia University, 
      Yassin Abdel Ghaffar Street, Shebin El-Kom, 32511, Menoufia, Egypt.
FAU - El Swaf, Yasser F
AU  - El Swaf YF
AD  - Cardiothoracic Surgery Department, Mahalla Cardiac Institute, Mahalla, Gharbia, 
      Egypt.
FAU - Elkassas, Marwan H
AU  - Elkassas MH
AD  - Cardiothoracic Surgery Department, Faculty of Medicine, Suez Canal University, 
      Suez, Egypt.
FAU - Hagag, Mohamed G
AU  - Hagag MG
AUID- ORCID: 0000-0002-1506-888X
AD  - Cardiothoracic Surgery Department, Faculty of Medicine, Menoufia University, 
      Yassin Abdel Ghaffar Street, Shebin El-Kom, 32511, Menoufia, Egypt. 
      mohamedhagag@med.menofia.edu.eg.
FAU - Allam, Heba Khodary
AU  - Allam HK
AD  - Public Health and Community Medicine Department, Faculty of Medicine, Menoufia 
      University, Shebin El-Kom, Menoufia, Egypt.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20190924
PL  - Japan
TA  - Gen Thorac Cardiovasc Surg
JT  - General thoracic and cardiovascular surgery
JID - 101303952
SB  - IM
MH  - Aged
MH  - *Coronary Artery Bypass
MH  - Coronary Artery Disease/complications/*surgery
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/diagnostic imaging/etiology/*surgery
MH  - Myocardial Ischemia/complications/*surgery
MH  - Postoperative Period
MH  - Prospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Cardiac surgical procedures
OT  - Coronary artery bypass
OT  - Mitral valve insufficiency
OT  - Myocardial ischemia
OT  - Valve repair
EDAT- 2019/09/26 06:00
MHDA- 2020/10/21 06:00
CRDT- 2019/09/26 06:00
PHST- 2019/02/21 00:00 [received]
PHST- 2019/09/17 00:00 [accepted]
PHST- 2019/09/26 06:00 [pubmed]
PHST- 2020/10/21 06:00 [medline]
PHST- 2019/09/26 06:00 [entrez]
AID - 10.1007/s11748-019-01212-5 [pii]
AID - 10.1007/s11748-019-01212-5 [doi]
PST - ppublish
SO  - Gen Thorac Cardiovasc Surg. 2020 May;68(5):492-498. doi: 
      10.1007/s11748-019-01212-5. Epub 2019 Sep 24.