HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Vijay Kohli Harpreet Wasir Yatin Mehta Naresh Trehan Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kohli, V. Articles by Trehan, N. Search for Related Content PubMed PubMed Citation Articles by Kohli, V. Articles by Trehan, N. Related Collections Pleura

Mitral Valve Repair for Ischemic Mitral Regurgitation in Dilated Cardiomyopathy

Department of Cardiovascular Surgery
¹ Department of Cardiology
² Department of Cardiovascular Anesthesia, Escorts Heart Institute & Research Centre, New Delhi, India

For reprint information contact: Vijay Kohli, MCh Tel: 91 11 2682 5000 Fax: 91 11 2682 5013 Email: vijay_k22{at}hotmail.com, Department of Cardiovascular Surgery, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi 110025, India.

Ischemic mitral regurgitation contributes to poor survival in patients with heart failure. The intermediate-term outcome of mitral reconstruction in 15 patients who had ischemic dilated cardiomyopathy with mitral regurgitation requiring surgical intervention was studied. They underwent mitral valve repair along with coronary artery bypass surgery. The mitral valve coaptation depth was considered an important parameter in deciding on repair. Ages ranged from 43 to 72 years. Left ventricular ejection fractions were 15–38% (mean, 26.5% ± 4.3%). The operative technique in all 15 patients was posterior annuloplasty using Dacron felt. At a mean follow-up of 4.6 ± 1.2 months (1–8 months), postoperative transesophageal echocardiography revealed mild mitral regurgitation in 2 patients and none in 13. There was a significant improvement in New York Heart Association functional class from 3.9 ± 1.1 to 1.9 ± 0.3. Mitral valve repair by posterior felt annuloplasty provides favorable results in the intermediate-term in selected patients with ischemic cardiomyopathy and severe left ventricular dysfunction.