Mechanism of Beneficial Effects of Restrictive Mitral Annuloplasty in Patients With Dilated Cardiomyopathy and Functional Mitral Regurgitation
Author(s) -
Koji Takeda,
Kazuhiro Taniguchi,
Yasuhiro Shudo,
Satoshi Kainuma,
Seiki Hamada,
Hajime Matsue,
Goro Matsumiya,
Yoshiki Sawa
Publication year - 2010
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.109.927855
Subject(s) - medicine , functional mitral regurgitation , dilated cardiomyopathy , cardiology , mitral regurgitation , mechanism (biology) , heart failure , ejection fraction , philosophy , epistemology
Restrictive mitral annuloplasty (RMA) often leads to reverse left ventricular (LV) remodeling in patients with advanced cardiomyopathy and functional mitral regurgitation. However, the mechanism responsible for its favorable effects on LV ejection performance has been poorly understood. We evaluated systolic wall stress using cineangiographic multidetector computed tomography (MDCT) and our developed software system to assess stress-shortening relations before and after RMA.
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