Impact of Left Ventricular to Mitral Valve Ring Mismatch on Recurrent Ischemic Mitral Regurgitation After Ring Annuloplasty
Author(s) -
Romain Capoulade,
Xin Zeng,
Jessica Overbey,
Gorav Ailawadi,
John H. Alexander,
Deborah D. Ascheim,
Michael E. Bowdish,
Annetine C. Gelijns,
Paul Grayburn,
Irving L. Kron,
Robert A. Levine,
Michael J. Mack,
Serguei Melnitchouk,
Robert E. Michler,
John C. Mullen,
Patrick T. O’Gara,
Michael K. Parides,
Peter K. Smith,
Pierre Voisine,
Judy Hung
Publication year - 2016
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.115.021014
Subject(s) - medicine , cardiology , ejection fraction , ring size , mitral valve repair , confidence interval , mitral regurgitation , mitral valve , ring (chemistry) , heart failure , organic chemistry , chemistry
In ischemic mitral regurgitation (IMR), ring annuloplasty is associated with a significant rate of recurrent MR. Ring size is based on intertrigonal distance without consideration of left ventricular (LV) size. However, LV size is an important determinant of mitral valve (MV) leaflet tethering before and after repair. We aimed to determine whether LV-MV ring mismatch (mismatch of LV size relative to ring size) is associated with recurrent MR in patients with IMR after restrictive ring annuloplasty.
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