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  • Chronic ischemic mitral regurgitation - short and long-term results of various surgical interventions = Kronična ishemična mitralna insuficienca - kratkoročni in dolgoročni rezultati različnih kirurških intervencij
    Geršak, Borut ...
    The survival rates of 301 patients operated for chronic ischemic mitral valve insufficiency (Chronic IMR) in comboation with surgical revascularization (CABG) at our center between the years 1990 and ... 2002 were analyzed. Early mortality was 11.2% (34 patients), while late mortality was 20.5% (62 patients). Three different surgical techniques were used: CABG without any mitral valve intervention (CABG - MI), No. = 93, CABG with mitral valve repair(CABG - PVM), No. = 117 and CABG with mitral valve replacement (CABG - MVR), No. = 91. In the CABG - MI group there were more patients with good LVEF, whereas in the CABG - PVM group there were more patients with poor LVEF,and in the group CABG - MVR the distribution of good, intermediate and poor LVEF was almost equal - the results are statistically significant (p = 0.0086). The association with the type of operation and early mortality is statistically significant (p = 0.0124): CABG - MI = 3%, CABG - MVR = 15% and CABG - PVM = 15%. The association with LIMA use and early mortality has borderline significance, going in favour of LIMA use (p = 0.0513). The Cox proportional hazards model showed association with the type of operation and LIMA use for late mortality. The CABG - MI group had the better long-term outcome, whereas the CABG - MVR and CABG - PVM groups had significantly higherrisk. The hazard ratio for CABG - MVR compared to CABG - MI is 2.55 (95%confidence interval) and 2.77 compared to CABG - PVM (95% confidence interval). The LIMA group had a statistically significant lower risk; the hazard ratio was 0.48% (95% confidence interval). In conclusion, the results show the need for LIMA use as an important factor for long-term survival in patients with chronic IMR. (Abstract truncated at 2000 characters)
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Vol. 3, iss. 2, 2006, str. 102-105)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - angleški
    COBISS.SI-ID - 21963481

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