Early and long-term outcome of mitral valve repair with a cosgrove band combined with coronary revascularization in patients with ischemic cardiomyopathy and moderate-severe mitral regurgitation

Bruno Chiappini, Ugo Minuti, Renato Gregorini, Licia Petrella, Franco De Remigis, Raffaele Giancola, Carmine Villani, Alessandro Mazzola

Research output: Contribution to journalArticle

Abstract

Background and aim of the study: Clinical and echocardiographic results were investigated to evaluate mitral valve repair in patients undergoing coronary artery bypass grafting (CABG) for ischemic cardiomyopathy (ICM) with moderately severe mitral regurgitation (MR). Methods: A total of 78 patients (21 women, 57 men; mean age 69.5 ± 7.8 years) with ischemic mitral regurgitation underwent mitral valve repair and CABG. The mean left ventricular ejection fraction (LVEF) was 42.4 ± 12.4%. Among the patients, 19 (24.4%) had preoperative congestive heart failure (CHF). This surgery constituted a second such operation in five patients (6.4%). The MR was grade 3+ in 28 patients (35.9%) and 4+ in 50 (64.1%). The mean number of grafts was 3.6 per patient. Results: Hospital mortality was 11.5% (n = 9). Risk factors for early mortality were preoperative NYHA class ≥ III (p = 0.014), preoperative heart failure (p

Original languageEnglish
Pages (from-to)396-401
Number of pages6
JournalJournal of Heart Valve Disease
Volume17
Issue number4
Publication statusPublished - Jul 2008

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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