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
Hauptverfasser: 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.
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container_end_page 42
container_issue 1
container_start_page 25
container_title Journal of cardiac surgery
container_volume 4
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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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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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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