Systematic Reductive Annuloplasty of the Mitral and Tricuspid Valves in Patients With End-Stage Ischemic Dilated Cardiomyopathy

Jonjev, Z; Mijatov, M.; Fabri, M; Popovic, Snezana; Radovanović, N

doi:10.1111/j.1540-8191.2007.00375.x

Cited by 9 publications

(12 citation statements)

References 21 publications

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“…CABG has been associated with a perioperative stroke rate of 1-5% and the predisposing factors are consistent with the risk factors for perioperative stroke following MV procedures [2] . A subgroup analysis of 4 studies [5][6][7][8] A few limitations are to be addressed in our study. The final list of studies analyzed gathered from different sources and locations can differ in their guidelines for MV procedures and postoperative neurological assessment and follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative Strokes Following Surgical Correction of Mitral Valves: A Systematic Review and Meta-Analysis

Udesh

Natarajan²,

Jeevanantham³

et al. 2017

Eur Neurol

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Section: Discussionmentioning

confidence: 99%

“…Four primary studies with a sample size of 389 patients were analyzed [5][6][7][8] . A perioperative stroke rate of 2.05% (8/389) and 30-day mortality rate of 6.68% (23/389) were obtained.…”

Section: Subgroup Analysismentioning

confidence: 99%

Perioperative Strokes Following Surgical Correction of Mitral Valves: A Systematic Review and Meta-Analysis

Udesh

Natarajan²,

Jeevanantham³

et al. 2017

Eur Neurol

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“…We believe that this approach is appropriate for patients with ischemic MR and also for patients with functional MR secondary to dilated cardiomyopathy (ischemic and nonischemic). Radovanovic et al (56,57) reported good results with systematic MV and TV annuloplasty in relatively young patients (mean age 50 to 55 years) with ischemic and nonischemic dilated cardiomyopathy, but his studies were nonrandomized. Early TV repair before the occurrence of irreversible RV dysfunction is probably also appropriate in patients with isolated TR secondary to TA dilation without left-sided heart disease (58).…”

mentioning

confidence: 97%

Tricuspid Regurgitation in Mitral Valve Disease

Shiran

Sagie

2009

Journal of the American College of Cardiology

287

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Tricuspid regurgitation (TR) in patients with mitral valve (MV) disease is associated with poor outcome and predicts poor survival, heart failure, and reduced functional capacity. It is common if left untreated after MV replacement mainly in rheumatic patients, but it is also common in patients with ischemic mitral regurgitation. It is less common, however, in those with degenerative mitral regurgitation. It might appear many years after surgery and might not resolve after correcting the MV lesion. Late TR might be caused by prosthetic valve dysfunction, left heart disease, right ventricular (RV) dysfunction and dilation, persistent pulmonary hypertension, chronic atrial fibrillation, or by organic (mainly rheumatic) tricuspid valve disease. Most commonly, late TR is functional and isolated, secondary to tricuspid annular dilation. Outcome of isolated tricuspid valve surgery is poor, because RV dysfunction has already occurred at that point in many patients. MV surgery or balloon valvotomy should be performed before RV dysfunction, severe TR, or advanced heart failure has occurred. Tricuspid annuloplasty with a ring should be performed at the initial MV surgery, and the tricuspid annulus diameter (>or=3.5 cm) is the best criterion for performing the annuloplasty. In this article we will review the current data available for understanding the prognostic implications, mechanism, and management of TR in patients with MV disease.

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“…Myocardial revascularization was successfully achieved with triple bypass using left internal mammary artery to D 1 , and double venous CABG to RIM and CxOM 1 territory. By mini transseptal approach, modified stitch annuloplasty of mitral and tricuspid valves was performed in addition to myocardial revascularization 3 . Postoperative course of the patient was uneventful.…”

Section: Case Presentationmentioning

confidence: 99%

“…2 End-stage coronary artery disease is usually complicated with heart remodeling and functional mitral and tricuspid regurgitation. 3 In this report we present clinical findings and outcome in redo surgery 15 years after multiple coronary endarterectomies, complicated overtime with low ejection fraction (EF) and mitral and tricuspid insufficiency.…”

mentioning

confidence: 99%

Redo surgery after multiple coronary endarterectomy

Jonjev¹,

Konstantinović²,

Torbica³

et al. 2010

Scripta Medica

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Coronary endarterectomy was recognized as the most controversial method in cardiac surgery due to high perioperative morbidity and mortality. These arguments significantly decreased utilization of coronary endarterectomy in the last two decades. We present a 65 y/o male with unstable angina and low ejection fraction (EF=28%) 15 years after multiple coronary endarterectomy. The patient was successfully treated with redo coronary bypass surgery and reverse heart remodeling, and has remained stabile one year after surgery.

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Systematic Reductive Annuloplasty of the Mitral and Tricuspid Valves in Patients With End-Stage Ischemic Dilated Cardiomyopathy

Cited by 9 publications

References 21 publications

Perioperative Strokes Following Surgical Correction of Mitral Valves: A Systematic Review and Meta-Analysis

Perioperative Strokes Following Surgical Correction of Mitral Valves: A Systematic Review and Meta-Analysis

Tricuspid Regurgitation in Mitral Valve Disease

Redo surgery after multiple coronary endarterectomy

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