Outcomes of surgery for non-ischemic non-valvular dilated cardiomyopathy with associated mitral regurgitation were assessed in 8 consecutive patients who underwent 9 mitral valve operations between 2001 and 2004. Mitral valve replacement was performed when the coaptation depth exceeded 10 mm. Two patients initially underwent mitral valvuloplasty, and 6 underwent valve replacement. One patient had valve replacement soon after valvuloplasty. Transthoracic echocardiography was performed immediately before surgery, before discharge, and during follow-up. Transesophageal echocardiography was carried out intraoperatively to assess valvular and ventricular function. Postoperative mean functional class was significantly better than the preoperative value (2.4 +/- 0.7 vs. 3.3 +/- 0.7), and the improvement was sustained during follow-up (2.0 +/- 0.7). The ejection fraction and left ventricular end-diastolic dimension did not improve. One patient died without leaving hospital and two died during follow-up. The 2- and 4-year survival rates were 75.0% and 37.5%. Mitral valve surgery improved functional class without obvious changes in ejection fraction or left ventricular end-diastolic dimension.
Mitral valve surgery for dilated cardiomyopathy with mitral regurgitation. Publishing Authors By Initials
Mitral valve surgery for dilated cardiomyopathy with mitral regurgitation. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Asian cardiovascular & thoracic annals
VOLUME: 14
Page Numbers: 371-6
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ISSN: 1816-5370
DAY: 28
MONTH: Oct
YEAR: 2006
Mitral valve surgery for dilated cardiomyopathy with mitral regurgitation. Information
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LANGUAGE: eng
NlmUniqueID: 9503417
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Grant and Affiliation Information for Mitral valve surgery for dilated cardiomyopathy with mitral regurgitation.
AFFILIATION: Department of Cardiothoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. machapon@med.nagoya-u.ac.jp
Country: Singapore
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MEDLINETA: Asian Cardiovasc Thorac Ann
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