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Ischemic MitraI Valve Disease: Classification and Systemic Approach to Management
Author(s) -
Oury James H.,
Cleveland Joseph C.,
Duran Carlos G.,
Angell William W.
Publication year - 1994
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1994.tb00939.x
Subject(s) - medicine , mitral valve , cardiology , concomitant , mitral valve replacement , surgery , coronary artery disease , artery , bypass grafting , valve replacement , mitral valve repair , stenosis
A bstract One hundred sixty‐nine consecutive patients with coronary artery disease and mitral valve pathology operated during the past 5 years were reviewed (98% follow‐up). Eighty‐seven patients underwent mitral valve repair and 82 mltral valve replacement with concomitant coronary artery bypass grafting (number of AV grafts = 3). An analysis of these patients (age range 48 to 92 [mean 69]) and a classification based on anatomic pathology of the mitral apparatus is presented. Flexible ring annuloplasty was utilized in all repairs and chordal‐sparing techniques in all valve replacements. There was equal mortality for replacement and repair in this subset of high risk patients. Structural valve dysfunction of repaired valves was more common (5/81 [6.0%]) than primary tissue valve failure after mltral valve replacement (0 patients). ( J Card Surg 1994;9[Suppl]:262–273 )