Five-year real world outcomes of GeoForm ring implantation in patients with ischemic mitral regurgitation

Abstract

Implantation of the GeoForm ring offers very good control of IMR, with low rate of recurrent IMR at mid-term follow-up. The use of this prosthesis was associated with good perioperative mortality, mid-term survival, and quality of life.

Predictors of ischemic mitral regurgitation improvement after surgical revascularization plus mitral valve repair for moderate ischemic mitral regurgitation

“…Mitral valve repair at the time of coronary artery bypass grafting (CABG) may improve left ventricular performance, reverse left ventricular remodeling, and then provide a more durable correction of moderate ischemic mitral regurgitation (IMR) 1–6 . However, the recurrence of IMR does occur after CABG plus mitral valve repair.…”

“…The overwhelming majority of previous studies have focused on evaluating the effects of CABG plus mitral valve repair on the treatment of moderate IMR 1–6,8–11 . Only a few studies have paid attention to the risk factors associated with IMR recurrence after mitral valve repair in addition to CABG for the treatment of moderate IMR.…”

“…Mitral valve repair at the time of coronary artery bypass grafting (CABG) may improve left ventricular performance, reverse left ventricular remodeling, and then provide a more durable correction of moderate ischemic mitral regurgitation (IMR). [1][2][3][4][5][6] However, the recurrence of IMR does occur after CABG plus mitral valve repair. Jensen 7 reported 20% to 30% of patients with recurrent MR 2 to 4 years after surgery by reviewing 35 previous studies that performed CABG with the addition of ring annuloplasty for the treatment of IMR.…”

“…The overwhelming majority of previous studies have focused on evaluating the effects of CABG plus mitral valve repair on the treatment of moderate IMR. [1][2][3][4][5][6][8][9][10][11] Only a few studies have paid attention to the risk factors associated with IMR recurrence after mitral valve repair in addition to CABG for the treatment of moderate IMR. Kron et al 12 reported that the presence of basal inferior aneurysm/dyskinesis may be strongly associated with the recurrence of IMR.…”

Risk Factors for Moderate or More Residual Regurgitation in Patients with Moderate Chronic Ischemic Mitral Regurgitation Undergoing Surgical Revascularization Alone

“…4) Surgical correction of moderate IMR at the time of coronary revascularization is still an unresolved controversy. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Although it cannot be sufficient to eliminate IMR, CABG alone improves preoperative moderate IMR in selected patients. 3) It is crucial to determine which patients with moderate IMR are more likely to benefit from CABG alone and which patients with moderate IMR were not good candidates for CABG alone.…”