Perioperative outcome and long-term survival of surgery for acute post-infarction mitral regurgitation

2004 ◽  
Author(s):  
P CHEVALIER
Keyword(s):  
Mitral Regurgitation ◽  
Perioperative Outcome ◽  
Term Survival ◽  
Long Term Survival

scholarly journals Perioperative outcome and long-term survival of surgery for acute post-infarction mitral regurgitation

2004 ◽  
Vol 26 (2) ◽  
pp. 330-335 ◽  
Author(s):  
Philippe Chevalier ◽  
Haran Burri ◽  
Fadi Fahrat ◽  
Michel Cucherat ◽  
Olivier Jegaden ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Perioperative Outcome ◽  
Term Survival ◽  
Long Term Survival

scholarly journals The Prospects of Secondary Moderate Mitral Regurgitation after Aortic Valve Replacement —Meta-Analysis

2020 ◽  
Vol 17 (19) ◽  
pp. 7335
Author(s):  
Ilija Bilbija ◽  
Milos Matkovic ◽  
Marko Cubrilo ◽  
Nemanja Aleksic ◽  
Jelena Milin Lazovic ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Mitral Regurgitation ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Meta Analysis ◽  
Reverse Remodeling ◽  
Term Survival ◽  
Long Term Survival

Aortic valve replacement for aortic stenosis represents one of the most frequent surgical procedures on heart valves. These patients often have concomitant mitral regurgitation. To reveal whether the moderate mitral regurgitation will improve after aortic valve replacement alone, we performed a systematic review and meta-analysis. We identified 27 studies with 4452 patients that underwent aortic valve replacement for aortic stenosis and had co-existent mitral regurgitation. Primary end point was the impact of aortic valve replacement on the concomitant mitral regurgitation. Secondary end points were the analysis of the left ventricle reverse remodeling and long-term survival. Our results showed that there was significant improvement in mitral regurgitation postoperatively (RR, 1.65; 95% CI 1.36–2.00; p < 0.00001) with the average decrease of 0.46 (WMD; 95% CI 0.35–0.57; p < 0.00001). The effect is more pronounced in the elderly population. Perioperative mortality was higher (p < 0.0001) and long-term survival significantly worse (p < 0.00001) in patients that had moderate/severe mitral regurgitation preoperatively. We conclude that after aortic valve replacement alone there are fair chances but for only slight improvement in concomitant mitral regurgitation. The secondary moderate mitral regurgitation should be addressed at the time of aortic valve replacement. A more conservative approach should be followed for elderly and high-risk patients.

scholarly journals Mitral Repair versus Replacement for Ischemic Mitral Regurgitation: Comparison of Short-Term and Long-Term Survival

Circulation ◽  
2009 ◽  
Vol 120 (11_suppl_1) ◽  
pp. S104-S111 ◽  
Author(s):  
J. Magne ◽  
N. Girerd ◽  
M. Senechal ◽  
P. Mathieu ◽  
F. Dagenais ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Ischemic Mitral Regurgitation ◽  
Short Term ◽  
Term Survival ◽  
Long Term Survival ◽  
Mitral Repair
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