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Mid-Term Outcome of Mitral Valve Repair and Coronary Artery Bypass Grafting for Ischemic or Degenerative Mitral Regurgitation

Paolo Nardi, Antonio Pellegrino, Carlo Bassano, Fabio Bertoldo, Antonio Scafuri, Jacob Zeitani, Luigi Chiariello.

Aim of the study. To verify the impact of the etiology of mitral valve regurgitation on a 5-year outcome after repair and concomitant coronary artery bypass grafting (CABG).
Methods. One hundred and eleven consecutive patients (mean age of 698 years) who underwent mitral valve repair, 65 for ischemic and 46 for degenerative mitral regurgitation, and concomitant CABG, were retrospectively analyzed. The mean follow-up was 4028 (9-104) months. Five-year survival (including operative mortality), and survival free from events (postoperative low output syndrome, progression of mitral regurgitation, onset or worsening of congestive heart failure, recurrence of myocardial infarction, and the need for mitral valve replacement) were analyzed.
Results. Compared with degenerative, ischemic mitral regurgitation was associated with a higher incidence of previous myocardial infarction (P

Key words: Mitral valve repair, degenerative mitral valve disease, ischemic mitral valve disease, coronary artery bypass grafting surgery

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