Current Management of Mitral Valve Incompetence Associated with Coronary Artery Disease
At a time when hospital mortality for adult cardiac operations is continuing to fall, the combined mitral valve coronary bypass subset remains at relatively high risk. Efforts to improve results should be directed toward a more general application of mitral reconstruction in this population, tailori...
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Veröffentlicht in: | Journal of cardiac surgery 1989-03, Vol.4 (1), p.25-42 |
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creator | RANKIN, J. SCOTT HICKEY, MARK STJ SMITH, L. RICHARD DEBRUIJN, NORBERT P. CLEMENTS, FIONA M. MUHLBAIER, LAWRENCE H. LOWE, JAMES E. WECHSLER, ANDREW S. CALIFF, ROBERT M. REVES, J.G. WOLFE, WALTER G. |
description | At a time when hospital mortality for adult cardiac operations is continuing to fall, the combined mitral valve coronary bypass subset remains at relatively high risk. Efforts to improve results should be directed toward a more general application of mitral reconstruction in this population, tailoring the type of repair to the pathological anatomy of valve dysfunction. Other promising therapeutic measures include the liberal use of reperfusion therapy in the acute papillary muscle dysfunction group, better selection patients for operation, and perhaps operative recommendation to a greater proportion of the more stable patients that previously were treated medically. Finally increasing the general awareness of this problem should hasten the development of improved management strategies. |
doi_str_mv | 10.1111/j.1540-8191.1989.tb00254.x |
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SCOTT ; HICKEY, MARK STJ ; SMITH, L. RICHARD ; DEBRUIJN, NORBERT P. ; CLEMENTS, FIONA M. ; MUHLBAIER, LAWRENCE H. ; LOWE, JAMES E. ; WECHSLER, ANDREW S. ; CALIFF, ROBERT M. ; REVES, J.G. ; WOLFE, WALTER G.</creator><creatorcontrib>RANKIN, J. SCOTT ; HICKEY, MARK STJ ; SMITH, L. RICHARD ; DEBRUIJN, NORBERT P. ; CLEMENTS, FIONA M. ; MUHLBAIER, LAWRENCE H. ; LOWE, JAMES E. ; WECHSLER, ANDREW S. ; CALIFF, ROBERT M. ; REVES, J.G. ; WOLFE, WALTER G.</creatorcontrib><description>At a time when hospital mortality for adult cardiac operations is continuing to fall, the combined mitral valve coronary bypass subset remains at relatively high risk. Efforts to improve results should be directed toward a more general application of mitral reconstruction in this population, tailoring the type of repair to the pathological anatomy of valve dysfunction. Other promising therapeutic measures include the liberal use of reperfusion therapy in the acute papillary muscle dysfunction group, better selection patients for operation, and perhaps operative recommendation to a greater proportion of the more stable patients that previously were treated medically. 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SCOTT</creatorcontrib><creatorcontrib>HICKEY, MARK STJ</creatorcontrib><creatorcontrib>SMITH, L. RICHARD</creatorcontrib><creatorcontrib>DEBRUIJN, NORBERT P.</creatorcontrib><creatorcontrib>CLEMENTS, FIONA M.</creatorcontrib><creatorcontrib>MUHLBAIER, LAWRENCE H.</creatorcontrib><creatorcontrib>LOWE, JAMES E.</creatorcontrib><creatorcontrib>WECHSLER, ANDREW S.</creatorcontrib><creatorcontrib>CALIFF, ROBERT M.</creatorcontrib><creatorcontrib>REVES, J.G.</creatorcontrib><creatorcontrib>WOLFE, WALTER G.</creatorcontrib><title>Current Management of Mitral Valve Incompetence Associated with Coronary Artery Disease</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>At a time when hospital mortality for adult cardiac operations is continuing to fall, the combined mitral valve coronary bypass subset remains at relatively high risk. Efforts to improve results should be directed toward a more general application of mitral reconstruction in this population, tailoring the type of repair to the pathological anatomy of valve dysfunction. Other promising therapeutic measures include the liberal use of reperfusion therapy in the acute papillary muscle dysfunction group, better selection patients for operation, and perhaps operative recommendation to a greater proportion of the more stable patients that previously were treated medically. Finally increasing the general awareness of this problem should hasten the development of improved management strategies.</description><subject>Coronary Artery Bypass - mortality</subject><subject>Coronary Disease - complications</subject><subject>Coronary Disease - surgery</subject><subject>Heart Valve Prosthesis - mortality</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Mitral Valve - surgery</subject><subject>Mitral Valve Insufficiency - complications</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Myocardial Reperfusion</subject><subject>Risk Factors</subject><subject>Survival Analysis</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkMtu2zAQRYmiQeok_YQCQhbdSSFFUiK7COCqeTtNgT7cHUFRo0SOHg5JJ87fh4IN7zObGeLeuUMchI4JTkiok0VCOMOxIJIkRAqZ-BLjlLNk_QFNdtJHNMFCZDFmDH9CB84tgillFO-j_ZQTKQWeoHmxshZ6H93qXt9DN45DHd023uo2-qfbZ4iuejN0S_DQG4imzg2m0R6q6KXxD1Ex2KHX9jWaWg-h_WgcaAdHaK_WrYPP236I_p6f_Sku49ndxVUxncWG5ozHQIWuy0xrhquS0ypnEipTUmC0lhXNM5NiybNac01yXYHAqQnPGtOSG8aAHqKvm9ylHZ5W4LzqGmegbXUPw8qpXHLBicDB-G1jNHZwzkKtlrbpwscVwWqkqhZqRKdGdGqkqrZU1Tosf9leWZUdVLvVLcagn270l6aF13ckq-u74nfKQ0C8CWich_UuQNtHleU052r-80L9x_zm--x6rn7RNwAvl_g</recordid><startdate>198903</startdate><enddate>198903</enddate><creator>RANKIN, J. SCOTT</creator><creator>HICKEY, MARK STJ</creator><creator>SMITH, L. RICHARD</creator><creator>DEBRUIJN, NORBERT P.</creator><creator>CLEMENTS, FIONA M.</creator><creator>MUHLBAIER, LAWRENCE H.</creator><creator>LOWE, JAMES E.</creator><creator>WECHSLER, ANDREW S.</creator><creator>CALIFF, ROBERT M.</creator><creator>REVES, J.G.</creator><creator>WOLFE, WALTER G.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198903</creationdate><title>Current Management of Mitral Valve Incompetence Associated with Coronary Artery Disease</title><author>RANKIN, J. SCOTT ; HICKEY, MARK STJ ; SMITH, L. RICHARD ; DEBRUIJN, NORBERT P. ; CLEMENTS, FIONA M. ; MUHLBAIER, LAWRENCE H. ; LOWE, JAMES E. ; WECHSLER, ANDREW S. ; CALIFF, ROBERT M. ; REVES, J.G. ; WOLFE, WALTER G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3745-e38afb6aa40db53d749edcb3e43f9d376c20956fa5a17ade802c56ff03b5c44e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Coronary Artery Bypass - mortality</topic><topic>Coronary Disease - complications</topic><topic>Coronary Disease - surgery</topic><topic>Heart Valve Prosthesis - mortality</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Mitral Valve - surgery</topic><topic>Mitral Valve Insufficiency - complications</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Myocardial Reperfusion</topic><topic>Risk Factors</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RANKIN, J. SCOTT</creatorcontrib><creatorcontrib>HICKEY, MARK STJ</creatorcontrib><creatorcontrib>SMITH, L. RICHARD</creatorcontrib><creatorcontrib>DEBRUIJN, NORBERT P.</creatorcontrib><creatorcontrib>CLEMENTS, FIONA M.</creatorcontrib><creatorcontrib>MUHLBAIER, LAWRENCE H.</creatorcontrib><creatorcontrib>LOWE, JAMES E.</creatorcontrib><creatorcontrib>WECHSLER, ANDREW S.</creatorcontrib><creatorcontrib>CALIFF, ROBERT M.</creatorcontrib><creatorcontrib>REVES, J.G.</creatorcontrib><creatorcontrib>WOLFE, WALTER G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RANKIN, J. SCOTT</au><au>HICKEY, MARK STJ</au><au>SMITH, L. RICHARD</au><au>DEBRUIJN, NORBERT P.</au><au>CLEMENTS, FIONA M.</au><au>MUHLBAIER, LAWRENCE H.</au><au>LOWE, JAMES E.</au><au>WECHSLER, ANDREW S.</au><au>CALIFF, ROBERT M.</au><au>REVES, J.G.</au><au>WOLFE, WALTER G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current Management of Mitral Valve Incompetence Associated with Coronary Artery Disease</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>1989-03</date><risdate>1989</risdate><volume>4</volume><issue>1</issue><spage>25</spage><epage>42</epage><pages>25-42</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>At a time when hospital mortality for adult cardiac operations is continuing to fall, the combined mitral valve coronary bypass subset remains at relatively high risk. Efforts to improve results should be directed toward a more general application of mitral reconstruction in this population, tailoring the type of repair to the pathological anatomy of valve dysfunction. Other promising therapeutic measures include the liberal use of reperfusion therapy in the acute papillary muscle dysfunction group, better selection patients for operation, and perhaps operative recommendation to a greater proportion of the more stable patients that previously were treated medically. Finally increasing the general awareness of this problem should hasten the development of improved management strategies.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>2519980</pmid><doi>10.1111/j.1540-8191.1989.tb00254.x</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Coronary Artery Bypass - mortality Coronary Disease - complications Coronary Disease - surgery Heart Valve Prosthesis - mortality Hospital Mortality Humans Mitral Valve - surgery Mitral Valve Insufficiency - complications Mitral Valve Insufficiency - surgery Myocardial Reperfusion Risk Factors Survival Analysis |
title | Current Management of Mitral Valve Incompetence Associated with Coronary Artery Disease |
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