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J Thorac Cardiovasc Surg 2003;125:S57
© 2003 The American Association for Thoracic Surgery

Editorials

Is mitral valvuloplasty always indicated in patients with poor left ventricular function and ischemic cardiomyopathy?

From the Department of Surgery, Toronto General Hospital, Toronto, Ontario, Canada.

Received for publication Sept 20, 2000. Accepted for publication Sept 29, 2000. Address for reprints: Lynda L. Mickleborough, MD, Department of Surgery, Toronto General Hospital, 200 Elizabeth St, Eaton North—EN 13-217, Toronto, Ontario M5G 2C4, Canada.

The first 20% of the full text of this article appears below.

In this issue of the Journal [J Thorac Cardiovasc Surg 2001;121:91-6], Di Donato and colleagues present 1-year follow-up data in 44 patients who underwent the Dor procedure. They found that deterioration of mitral valve function was more frequent in patients with larger preoperative ventricular volumes and decreased eccentricity indexes (increased sphericity) preoperatively.

The issue of what to do for mitral regurgitation (MR) associated with left ventricular (LV) dilatation in patients with a low ejection fraction is a very important one. Dr Di Donato and colleagues have attempted to link MR after the Dor . . . [Full Text of this Article]