Is Isolated Coronary Artery Bypass Grafting Sufficient to Treat Moderate Chronic Ischemic Mitral Regurgitation?
Journal Title: Hippocrates Medical Journal - Year 2021, Vol 1, Issue 1
Abstract
Abstract Objective Approach to ischemic mitral regurgitation is one of the most challenging areas of cardiovasculary surgery. Since it is primaryly due to left ventricular disturbances rather than mitral valve pathologies itself, interventional approach to IMR has always been controversal: To touch or no- touch. In this study we aimed to research prognosis of IMR in patients underwent isolated coronary arter bypass surgery that had IMR preoperatively. Materials and MethodsThirty patients suffering from coronary artery disease and 2+/ 3+ IMR who underwent isolated- CABG included to the study. Postoperative IMR degrees were compared to preoperative values in respect to left ventricular diameters/ volumes and ejection fraction. Results Postoperative 12th. mount trans-thorasic echocardiographic measures revealed Postoperative12 th. mount TTE findings; LVEF and IMR degrees were significantly decreased. On the other hand, LVEDD, LVESD and left atrial diameter did not changed statistically. Conclusion We thought that isolated CABG has an decreasing effect on IMR degree and it’s safe and effective intervention in selected patients having CAD and concomittant 2+/ 3+ IMR preoperativly
Authors and Affiliations
Hayrettin TEKÜMİT, Duygu DURMAZ, Turan Kamil BERKİ
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