Is repair preferable to replacement for ischemic mitral regurgitation?

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repair versus replacement for ischemic mitral regurgitation

background: this study was undertaken to compare the outcome in patients with moderate to severe ischemic mitral regurgitation (imr) undergoing coronary artery bypass grafting (cabg) with either mitral valve repair or mitral valve replacement. methods: between march 2002 and february 2005, 49 consecutive patients (mean age: 62.84±8.42 years; mean euroscore: 10.03±3.12) with coronary artery dise...

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Mitral-valve repair versus replacement for severe ischemic mitral regurgitation.

BACKGROUND Ischemic mitral regurgitation is associated with a substantial risk of death. Practice guidelines recommend surgery for patients with a severe form of this condition but acknowledge that the supporting evidence for repair or replacement is limited. METHODS We randomly assigned 251 patients with severe ischemic mitral regurgitation to undergo either mitral-valve repair or chordal-sp...

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Is mitral valve repair superior to replacement for chronic ischemic mitral regurgitation with left ventricular dysfunction?

BACKGROUND This study was undertaken to compare mitral valve repair and replacement as treatments for ischemic mitral regurgitation (IMR) with left ventricular dysfunction (LVD). Specifically, we sought to determine whether the choice of mitral valve procedure affected survival, and discover which patients were predicted to benefit from mitral valve repair and which from replacement. METHODS ...

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Mitral valve repair for ischemic mitral regurgitation.

Mitral valve repair for ischemic mitral valve regurgitation remains controversial. In moderate mitral regurgitation (MR), controversy exists whether revascularization alone will be adequate to restore native valve geometry or whether intervention on the valve (repair) should be performed concomitantly. When MR is severe, the need for valve intervention is not disputed. Rather, the controversy i...

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In patients undergoing mitral surgery for ischaemic mitral regurgitation is it preferable to repair or replace the mitral valve?

A best evidence topic was written according to a structured protocol. The question addressed was whether patients undergoing coronary bypass grafting and mitral intervention for moderate to severe ischaemic mitral regurgitation are best treated with mitral repair or replacement. Five hundred and fifty papers were found using the reported search. Based on the 14 non-randomised studies judged to ...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2001

ISSN: 0022-5223

DOI: 10.1067/mtc.2001.116557