Restrictive Mitral Valve Annuloplasty: Prognostic Implications of Left Ventricular Forward Flow

Surgical mitral valve repair for severe secondary mitral regurgitation (MR) remains controversial. The association of MR reduction and changes in left ventricular (LV) hemodynamics with survival has not been investigated. We investigated the independent associates of outcomes in heart failure patien...

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Veröffentlicht in:	The Annals of thoracic surgery 2017-11, Vol.104 (5), p.1464-1470
Hauptverfasser:	Kamperidis, Vasileios, van Wijngaarden, Suzanne E., van Rosendael, Philippe J., Kong, William KF, Leung, Melissa, Sianos, Georgios, Ajmone Marsan, Nina, Delgado, Victoria, Bax, Jeroen J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Blood Flow Velocity Cause of Death Cohort Studies Education, Medical, Continuing Female Heart Failure - mortality Heart Failure - surgery Humans Male Middle Aged Mitral Valve Annuloplasty - methods Mitral Valve Annuloplasty - mortality Mitral Valve Insufficiency - mortality Mitral Valve Insufficiency - surgery Prognosis Recurrence Retrospective Studies Risk Assessment Severity of Illness Index Stroke Volume - physiology Survival Analysis Treatment Outcome Ventricular Dysfunction, Left - mortality Ventricular Dysfunction, Left - physiopathology
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Zusammenfassung:	Surgical mitral valve repair for severe secondary mitral regurgitation (MR) remains controversial. The association of MR reduction and changes in left ventricular (LV) hemodynamics with survival has not been investigated. We investigated the independent associates of outcomes in heart failure patients with severe secondary MR who underwent surgical mitral valve repair. Patients (n = 130, 62 ± 12 years old, 55% men) with chronic severe secondary MR and impaired LV ejection fraction (
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2017.05.073