PMID- 31956245
OWN - NLM
STAT- MEDLINE
DCOM- 20200123
LR  - 20200123
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 73
IP  - 1
DP  - 2020 Jan
TI  - [Dual Repair for Ischemic/Functional Mitral Regurgitation].
PG  - 16-21
AB  - In the era of M-clip, surgery for ischemic/functional mitral regurgitation( FMR) 
      which is a ventricular disease remains a challenge. We try to do ventricular 
      treatment as much as possible. We reviewed 11 patients( 9 males, 63+/-12 years old) 
      who had "dual repair" surgery which consists of anterior relocation of both 
      papillary heads/muscles and simplified ventricular restoration (frozen-apex 
      restoration). There was 1 hospital death of mesenteric ischemia in a 80 years old 
      patient with sarcoidosis and chronic kidney disease(CKD). FMR changed from 
      2.7+/-0.9 preoperatively to 0.9+/-0.5( p<0.001) postoperatively. Similarly, New York 
      Heart Association (NYHA) class from 3.7+/-0.8 to 1.8+/-0.6 (p<0.001), left 
      ventricular end-diastolic dimension (LVDd) from 72+/-12 to 67+/-12 mm (p<0.01), 
      end-systolic dimension (Ds) from 65+/-12 to 59+/-14 mm (p<0.01), ejection fraction 
      (EF) from 23+/-8 to 28+/-10 (p=0.04), and right ventricular pressure( RVP) from 38+/-13 
      to 31+/-8 mmHg. There was no late death with the follow-up of 20+/-15 months (range 
      2 approximately 42 months). In conclusion, ventricular treatment by "dual repair" surgery helps 
      patients with FMR. Surgery may be a good compensatory treatment for catheter 
      intervention.
FAU - Komeda, Masashi
AU  - Komeda M
AD  - Department of Cardiovascular Surgery, Iseikai Hospital, Osaka, Japan.
FAU - Kamiya, Kenichi
AU  - Kamiya K
LA  - jpn
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Heart Ventricles
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Mitral Valve Insufficiency
MH  - Papillary Muscles
MH  - Treatment Outcome
EDAT- 2020/01/21 06:00
MHDA- 2020/01/24 06:00
CRDT- 2020/01/21 06:00
PHST- 2020/01/21 06:00 [entrez]
PHST- 2020/01/21 06:00 [pubmed]
PHST- 2020/01/24 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2020 Jan;73(1):16-21.