| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 2004;128:916-924
© 2004 The American Association for Thoracic Surgery
Surgery for Acquired Cardiovascular Disease |
a Department of Thoracic and Cardiovascular Surgery, Biostatistics and Epidemiology
b Department of Cardiovascular Medicine
c The Cleveland Clinic Foundation, Cleveland, Ohio
Received for publication April 23, 2004; revisions received July 22, 2004; accepted for publication July 26, 2004. * Address for reprints: A. Marc Gillinov, MD, The Cleveland Clinic Foundation, 9500 Euclid Ave/Desk F24, Cleveland, OH 44195 (E-mail: gillinom{at}ccf.org).
OBJECTIVES: We sought to characterize the temporal return of mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation; to identify its predictors, particularly with respect to annuloplasty type; and to determine whether annuloplasty type influences survival.
METHODS: From April 1985 through November 2002, 585 patients underwent annuloplasty alone for repair of functional ischemic mitral regurgitation, generally with concomitant coronary revascularization (95%). A flexible band (Cosgrove) was used in 68%, a rigid ring (Carpentier) in 21%, and bovine pericardial annuloplasty (Peri-Guard) in 11%. Six hundred seventy-eight postoperative echocardiograms were available in 422 patients to assess the time course of postoperative mitral regurgitation and its correlates. Most echocardiograms were performed early after the operation (median, 8 days); 17% were performed at 1 year or beyond.
RESULTS: During the first 6 months after repair, the proportion of patients with 0 or 1+ mitral regurgitation decreased from 71% to 41%, whereas the proportion with 3+ or 4+ regurgitation increased from 13% to 28% (P < .0001); the regurgitation grade was stable thereafter. The temporal pattern of development of 3+ or 4+ regurgitation was similar for Cosgrove bands and Carpentier rings (25%) but substantially worse for Peri-Guard annuloplasties (66%). Small annuloplasty size did not influence postoperative regurgitation grade (P = .2), although Cosgrove bands were used in most patients receiving 26- and 28-mm annuloplasties. Freedom from reoperation was 97% at 5 years. Annuloplasty type was not associated with survival.
CONCLUSIONS: Although initial mitral valve replacement would eliminate the risk of postoperative mitral regurgitation, this strategy has been associated with reduced survival. Therefore the development of additional techniques is necessary to achieve more secure repair of functional ischemic mitral regurgitation.
This article has been cited by other articles:
|
|
 |
|
  M. A. Acker Should Moderate or Greater Mitral Regurgitation Be Repaired in All Patients With LVEF <30%? Circ Heart Fail, November 1, 2008; 1(4): 281 - 284. [Full Text] [PDF]
|
|
|
|
|
|
E. C. McGee Jr Should Moderate or Greater Mitral Regurgitation Be Repaired in All Patients With LVEF <30%? Circ Heart Fail, November 1, 2008; 1(4): 285 - 289. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Hung, J. Solis, J. L. Guerrero, G. J.C. Braithwaite, O. K. Muratoglu, M. Chaput, L. Fernandez-Friera, M. D. Handschumacher, V. J. Wedeen, S. Houser, et al. A Novel Approach for Reducing Ischemic Mitral Regurgitation by Injection of a Polymer to Reverse Remodel and Reposition Displaced Papillary Muscles Circulation, September 30, 2008; 118(14_suppl_1): S263 - S269. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Milano, M. A. Daneshmand, J. S. Rankin, E. Honeycutt, M. L. Williams, M. Swaminathan, L. Linblad, L. K. Shaw, D. D. Glower, and P. K. Smith Survival Prognosis and Surgical Management of Ischemic Mitral Regurgitation Ann. Thorac. Surg., September 1, 2008; 86(3): 735 - 744. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. P. Ryan, B. M. Jackson, H. Hamamoto, T. J. Eperjesi, T. J. Plappert, M. St. John-Sutton, R. C. Gorman, and J. H. Gorman III The Influence of Annuloplasty Ring Geometry on Mitral Leaflet Curvature Ann. Thorac. Surg., September 1, 2008; 86(3): 749 - 760. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. P. Ryan, B. M. Jackson, T. J. Eperjesi, T. J. Plappert, M. St John-Sutton, R. C. Gorman, and J. H. Gorman III A methodology for assessing human mitral leaflet curvature using real-time 3-dimensional echocardiography J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 726 - 734. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Gelsomino, R. Lorusso, C. Rostagno, S. Caciolli, G. Bille, G. De Cicco, S. Romagnoli, C. Porciani, P. Stefano, and G. F. Gensini Prognostic value of Doppler-derived mitral deceleration time on left ventricular reverse remodelling after undersized mitral annuloplasty Eur J Echocardiogr, September 1, 2008; 9(5): 631 - 640. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Gelsomino, R. Lorusso, S. Caciolli, I. Capecchi, C. Rostagno, M. Chioccioli, G. De Cicco, G. Bille, P. Stefano, and G. F. Gensini Insights on left ventricular and valvular mechanisms of recurrent ischemic mitral regurgitation after restrictive annuloplasty and coronary artery bypass grafting. J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 507 - 518. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. A. Timek, D. Liang, G. T. Daughters, N. B. Ingels Jr., and D. C. Miller Effect of local annular interventions on annular and left ventricular geometry Eur. J. Cardiothorac. Surg., June 1, 2008; 33(6): 1049 - 1054. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. J.M. Westenberg, J. Braun, N. R. Van de Veire, R. J.M. Klautz, M. I.M. Versteegh, S. D. Roes, R. J. van der Geest, A. de Roos, E. E. van der Wall, J. H.C. Reiber, et al. Magnetic resonance imaging assessment of reverse left ventricular remodeling late after restrictive mitral annuloplasty in early stages of dilated cardiomyopathy. J. Thorac. Cardiovasc. Surg., June 1, 2008; 135(6): 1247 - 1253. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Ishikawa, K. Ueda, A. Kawasaki, K. Neya, and H. Suzuki Papillary muscle sandwich plasty for ischemic mitral regurgitation: A new simple technique. J. Thorac. Cardiovasc. Surg., June 1, 2008; 135(6): 1384 - 1386. [Full Text] [PDF]
|
|
|
|
|
|
T. A. Armen, R. Vandse, J. A. Crestanello, S. V. Raman, K. M. Bickle, and N. S. Nathan Mechanisms of valve competency after mitral valve annuloplasty for ischaemic mitral regurgitation using the Geoform ring: insights from three-dimensional echocardiography Eur J Echocardiogr, May 13, 2008; (2008) jen165v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. D. Crabtree, M. S. Bailey, M. R. Moon, N. Munfakh, M. K. Pasque, J. S. Lawton, N. Moazami, K. A. Aubuchon, A. S. Al-Dadah, and R. J. Damiano Jr Recurrent mitral regurgitation and risk factors for early and late mortality after mitral valve repair for functional ischemic mitral regurgitation. Ann. Thorac. Surg., May 1, 2008; 85(5): 1537 - 1542. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Akiyama, Z. B. Popovic, K. Kamohara, F. Cingoz, M. Daimon, C. Ootaki, Y. Ootaki, M. Martin, J. Liu, M. W. Kopcak Jr, et al. Acute reduction of functional mitral regurgitation in canine model using an epicardial device. Ann. Thorac. Surg., May 1, 2008; 85(5): 1771 - 1775. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Arai, F. Itoh, T. Someya, K. Oi, K. Tamura, and H. Tanaka New surgical procedure for ischemic/functional mitral regurgitation: mitral complex remodeling. Ann. Thorac. Surg., May 1, 2008; 85(5): 1820 - 1822. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Magne, M. Senechal, P. Mathieu, J. G. Dumesnil, F. Dagenais, and P. Pibarot Restrictive Annuloplasty for Ischemic Mitral Regurgitation May Induce Functional Mitral Stenosis J. Am. Coll. Cardiol., April 29, 2008; 51(17): 1692 - 1701. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. H. Marwick Restrictive Annuloplasty for Ischemic Mitral Regurgitation: Too Little or Too Much? J. Am. Coll. Cardiol., April 29, 2008; 51(17): 1702 - 1703. [Full Text] [PDF]
|
|
|
|
|
|
S. Gelsomino, R. Lorusso, I. Capecchi, C. Rostagno, S. Romagnoli, G. Bille, G. De Cicco, C. Tetta, P. Stefano, and G. F. Gensini Left Ventricular Reverse Remodeling After Undersized Mitral Ring Annuloplasty in Patients With Ischemic Regurgitation Ann. Thorac. Surg., April 1, 2008; 85(4): 1319 - 1330. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Agricola, M. Oppizzi, M. Pisani, A. Meris, F. Maisano, and A. Margonato Ischemic mitral regurgitation: mechanisms and echocardiographic classification Eur J Echocardiogr, March 1, 2008; 9(2): 207 - 221. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W.M. Fedak, P. M. McCarthy, and R. O. Bonow Evolving Concepts and Technologies in Mitral Valve Repair Circulation, February 19, 2008; 117(7): 963 - 974. [Full Text] [PDF]
|
|
|
|
|
|
J. Braun, N. R. van de Veire, R. J.M. Klautz, M. I.M. Versteegh, E. R. Holman, J. J.M. Westenberg, E. Boersma, E. E. van der Wall, J. J. Bax, and R. A.E. Dion Restrictive Mitral Annuloplasty Cures Ischemic Mitral Regurgitation and Heart Failure Ann. Thorac. Surg., February 1, 2008; 85(2): 430 - 437. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Gelsomino, R. Lorusso, G. De Cicco, I. Capecchi, C. Rostagno, S. Caciolli, S. Romagnoli, U. Da Broi, P. Stefano, and G. F. Gensini Five-year echocardiographic results of combined undersized mitral ring annuloplasty and coronary artery bypass grafting for chronic ischaemic mitral regurgitation Eur. Heart J., January 2, 2008; 29(2): 231 - 240. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Kolh Surgical correction of ischaemic mitral regurgitation still a long way to go Eur. Heart J., January 2, 2008; 29(2): 147 - 149. [Full Text] [PDF]
|
|
|
|
 |
|
 W. Y. Szeto, R. C. Gorman, J. H. Gorman III, and M. A. Acker Ischemic Mitral Regurgitation Card. Surg. Adult, January 1, 2008; 3(2008): 785 - 802. [Full Text]
|
|
|
|
|
|
J. I. Fann, N. B. Ingels Jr., and D. C. Miller Pathophysiology of Mitral Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 973 - 1012. [Full Text]
|
|
|
|
|
|
M. J. Davidson and D. S. Baim Percutaneous Catheter-Based Mitral Valve Repair Card. Surg. Adult, January 1, 2008; 3(2008): 1101 - 1108. [Full Text]
|
|
|
|
|
|
P. Lancellotti, E. Donal, B. Cosyns, G. Van Camp, J.-L. Monin, E. Brochet, A. Berrebi, P. Pibarot, C. Chauvel, C. Hassager, et al. Effects of surgery on ischaemic mitral regurgitation: a prospective multicentre registry (SIMRAM registry) Eur J Echocardiogr, January 1, 2008; 9(1): 26 - 30. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Rama, L. Praschker, E. Barreda, and I. Gandjbakhch Papillary Muscle Approximation for Functional Ischemic Mitral Regurgitation Ann. Thorac. Surg., December 1, 2007; 84(6): 2130 - 2131. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Iglesias Intraoperative TEE Assessment During Mitral Valve Repair for Degenerative and Ischemic Mitral Valve Regurgitation Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2007; 11(4): 301 - 305. [Abstract] [PDF]
|
|
|
|
|
|
L. P. Ryan, B. M. Jackson, L. M. Parish, H. Sakamoto, T. J. Plappert, M. St. John-Sutton, J. H. Gorman III, and R. C. Gorman Mitral Valve Tenting Index for Assessment of Subvalvular Remodeling Ann. Thorac. Surg., October 1, 2007; 84(4): 1243 - 1249. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Hung, M. Chaput, J. L. Guerrero, M. D. Handschumacher, L. Papakostas, S. Sullivan, J. Solis, and R. A. Levine Persistent Reduction of Ischemic Mitral Regurgitation by Papillary Muscle Repositioning: Structural Stabilization of the Papillary Muscle Ventricular Wall Complex Circulation, September 11, 2007; 116(11_suppl): I-259 - I-263. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Beeri, C. Yosefy, J. L. Guerrero, S. Abedat, M. D. Handschumacher, R. E. Stroud, S. Sullivan, M. Chaput, D. Gilon, G. J. Vlahakes, et al. Early Repair of Moderate Ischemic Mitral Regurgitation Reverses Left Ventricular Remodeling: A Functional and Molecular Study Circulation, September 11, 2007; 116(11_suppl): I-288 - I-293. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Roshanali, M. H. Mandegar, M. A. Yousefnia, H. Rayatzadeh, and F. Alaeddini A Prospective Study of Predicting Factors in Ischemic Mitral Regurgitation Recurrence After Ring Annuloplasty Ann. Thorac. Surg., September 1, 2007; 84(3): 745 - 749. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. M. Gazoni, J. A. Kern, B. R. Swenson, J. M. Dent, P. W. Smith, D. P. Mulloy, T. B. Reece, L. M. Fedoruk, T. C. Lisle, B. B. Peeler, et al. A Change in Perspective: Results for Ischemic Mitral Valve Repair Are Similar to Mitral Valve Repair for Degenerative Disease Ann. Thorac. Surg., September 1, 2007; 84(3): 750 - 758. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D'Ancona, G. Mamone, G. Marrone, F. Pirone, G. Santise, S. Sciacca, and M. Pilato Ischemic mitral valve regurgitation: the new challenge for magnetic resonance imaging Eur. J. Cardiothorac. Surg., September 1, 2007; 32(3): 475 - 480. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. P. Ryan, B. M. Jackson, Y. Enomoto, L. Parish, T. J. Plappert, M. G. St. John-Sutton, R. C. Gorman, and J. H. Gorman III Description of regional mitral annular nonplanarity in healthy human subjects: A novel methodology J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 644 - 648. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ueno, R. Sakata, Y. Iguro, H. Yamamoto, M. Ueno, T. Ueno, and K. Matsumoto Mid-term changes of left ventricular geometry and function after Dor, SAVE, and Overlapping procedures Eur. J. Cardiothorac. Surg., July 1, 2007; 32(1): 52 - 57. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Mihaljevic, B.-K. Lam, J. Rajeswaran, M. Takagaki, M. S. Lauer, A. M. Gillinov, E. H. Blackstone, and B. W. Lytle Impact of Mitral Valve Annuloplasty Combined With Revascularization in Patients With Functional Ischemic Mitral Regurgitation J. Am. Coll. Cardiol., June 5, 2007; 49(22): 2191 - 2201. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Borger, P. M. Murphy, A. Alam, S. Fazel, M. Maganti, S. Armstrong, V. Rao, and T. E. David Initial results of the chordal-cutting operation for ischemic mitral regurgitation J. Thorac. Cardiovasc. Surg., June 1, 2007; 133(6): 1483 - 1492. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Ryan, B. Jackson, L. Parish, H. Sakamoto, T. Plappert, M. St. J. Sutton, J. Gorman III, and R. Gorman Quantification and localization of mitral valve tenting in ischemic mitral regurgitation using real-time three-dimensional echocardiography Eur. J. Cardiothorac. Surg., May 1, 2007; 31(5): 839 - 844. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Magne, P. Pibarot, F. Dagenais, Z. Hachicha, J. G. Dumesnil, and M. Senechal Preoperative Posterior Leaflet Angle Accurately Predicts Outcome After Restrictive Mitral Valve Annuloplasty for Ischemic Mitral Regurgitation Circulation, February 13, 2007; 115(6): 782 - 791. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Langer and H.-J. Schafers RING plus STRING: Papillary muscle repositioning as an adjunctive repair technique for ischemic mitral regurgitation J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 247 - 249. [Full Text] [PDF]
|
|
|
|
|
|
G. Buckberg Editorial comment: Left ventricular reconstruction for dilated ischemic cardiomyopathy: biology, registry, randomization, and credibility Eur. J. Cardiothorac. Surg., November 1, 2006; 30(5): 759 - 761. [Full Text] [PDF]
|
|
|
|
|
|
E. A. Grossi and G. A. Crooke Mitral valve surgery in heart failure: Insights from the Acorn clinical trial. J. Thorac. Cardiovasc. Surg., September 1, 2006; 132(3): 455 - 456. [Full Text] [PDF]
|
|
|
|
|
|
M. J. Mack Coronary Sinus in the Management of Functional Mitral Regurgitation: The Mother Lode or Fool's Gold? Circulation, August 1, 2006; 114(5): 363 - 364. [Full Text] [PDF]
|
|
|
|
|
|
E. Messas, C. Yosefy, M. Chaput, J. L. Guerrero, S. Sullivan, P. Menasche, A. Carpentier, M. Desnos, A. A. Hagege, G. J. Vlahakes, et al. Chordal Cutting Does Not Adversely Affect Left Ventricle Contractile Function Circulation, July 4, 2006; 114(1_suppl): I-524 - I-528. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Kuwahara, Y. Otsuji, Y. Iguro, T. Ueno, F. Zhu, N. Mizukami, K. Kubota, K. Nakashiki, T. Yuasa, B. Yu, et al. Mechanism of Recurrent/Persistent Ischemic/Functional Mitral Regurgitation in the Chronic Phase After Surgical Annuloplasty: Importance of Augmented Posterior Leaflet Tethering Circulation, July 4, 2006; 114(1_suppl): I-529 - I-534. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Daimon, S. Fukuda, D. H. Adams, P. M. McCarthy, A. M. Gillinov, A. Carpentier, F. Filsoufi, V. M. Abascal, V. H. Rigolin, S. Salzberg, et al. Mitral Valve Repair With Carpentier-McCarthy-Adams IMR ETlogix Annuloplasty Ring for Ischemic Mitral Regurgitation: Early Echocardiographic Results From a Multi-Center Study Circulation, July 4, 2006; 114(1_suppl): I-588 - I-593. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Cheng, T. C. Nguyen, M. Malinowski, D. Liang, G. T. Daughters, N. B. Ingels Jr, and D. C. Miller Effects of Undersized Mitral Annuloplasty on Regional Transmural Left Ventricular Wall Strains and Wall Thickening Mechanisms Circulation, July 4, 2006; 114(1_suppl): I-600 - I-609. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ueno, R. Sakata, Y. Iguro, T. Nagata, Y. Otsuji, and C. Tei New Surgical Approach to Reduce Tethering in Ischemic Mitral Regurgitation by Relocation of Separate Heads of the Posterior Papillary Muscle Ann. Thorac. Surg., June 1, 2006; 81(6): 2324 - 2325. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E.A. Grossi, Y.J. Woo, C.F. Schwartz, D.M. Gangahar, V.A. Subramanian, N. Patel, J. Wudel, P.L. DiGiorgi, A. Singh, and R.D. Davis Comparison of Coapsys annuloplasty and internal reduction mitral annuloplasty in the randomized treatment of functional ischemic mitral regurgitation: Impact on the left ventricle J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 1095 - 1098. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Langer, F. Rodriguez, A. Cheng, S. Ortiz, T. C. Nguyen, M. K. Zasio, D. Liang, G. T. Daughters, N. B. Ingels, and D. C. Miller Posterior mitral leaflet extension: An adjunctive repair option for ischemic mitral regurgitation? J. Thorac. Cardiovasc. Surg., April 1, 2006; 131(4): 868 - 877. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. (Cindy) Le and D. M. Thys Ischemic Mitral Regurgitation Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2006; 10(1): 73 - 77. [Abstract] [PDF]
|
|
|
|
|
|
Pitfalls and limitations in measuring and interpreting the outcomes of mitral valve repair. J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 523 - 529.
|
|
|
|
|
|
Is a good perioperative echocardiographic result predictive of durability in ischemic mitral valve repair? J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 565 - 573.e2.
|
|
|
|
|
|
M. A. Borger, A. Alam, P. M. Murphy, T. Doenst, and T. E. David Chronic Ischemic Mitral Regurgitation: Repair, Replace or Rethink? Ann. Thorac. Surg., March 1, 2006; 81(3): 1153 - 1161. [Abstract] [Full Text] [PDF]
|
|
|
|
