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Zhbanov I.V.

Petrovsky National Research Center of Surgery

Revishvili G.A.

Petrovsky Russian Research Center of Surgery

Van E.Yu.

Petrovsky Russian Research Center of Surgery

Kulagina T.Yu.

Petrovsky National Research Centre of Surgery

Shabalkin B.V.

Petrovsky National Research Center of Surgery

Long-term postoperative outcomes in patients with coronary artery disease and ischemic mitral insufficiency

Authors:

Zhbanov I.V., Revishvili G.A., Van E.Yu., Kulagina T.Yu., Shabalkin B.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4): 393‑401

DOI: 10.17116/kardio202215041393

Read: 1749 times

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Table of contents

LONG-TERM POSTOPERATIVE OUTCOMES IN PATIENTS WITH CORONARY ARTERY DISEASE AND ISCHEMIC MITRAL INSUFFICIENCY
LONG-TERM POSTOPERATIVE OUTCOMES IN PATIENTS WITH CORONARY ARTERY DISEASE AND ISCHEMIC MITRAL INSUFFICIENCY

To cite this article:

Zhbanov IV, Revishvili GA, Van EYu, Kulagina TYu, Shabalkin BV. Long-term postoperative outcomes in patients with coronary artery disease and ischemic mitral insufficiency. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4):393‑401. (In Russ.)
https://doi.org/10.17116/kardio202215041393

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate long-term postoperative outcomes in patients with coronary artery disease complicated by ischemic mitral regurgitation (IMR) depending on its severity and surgical procedure.

MATERIAL AND METHODS

A retrospective analysis included 119 patients who underwent isolated coronary artery bypass grafting (CABG) and simultaneous coronary artery bypass surgery with mitral valve repair. All patients were divided into 2 groups depending on the type of intervention: 43 (36.1%) patients with mild-to-moderate IMR underwent isolated CABG (group 1), 76 (63.9%) patients with moderate-to-severe IMR underwent CABG and mitral valve surgery (group 2).

RESULTS

There were no significant between-group differences in long-term survival (95.7% vs. 96.7%, p>0.05). Incidence of major adverse cardiovascular events in long-term postoperative period was similar (64% vs. 74%, p>0.05). IMR recurrence occurred in 2 patients of the second group 2 (2.6%), progression of IMR — in 1 patient of the first group (2.3%).

CONCLUSION

Isolated CABG in patients with mild mitral valve lesion does not increase the risk of IMR progression. There is a low incidence of IMR recurrence after surgical correction of IMR regardless of its baseline severity.

Keywords:

coronary artery disease
ischemic mitral regurgitation
coronary artery bypass grafting
myocardial revascularization
mitral valve annuloplasty

Authors:

Zhbanov I.V.

Petrovsky National Research Center of Surgery

Revishvili G.A.

Petrovsky Russian Research Center of Surgery

Van E.Yu.

Petrovsky Russian Research Center of Surgery

Kulagina T.Yu.

Petrovsky National Research Centre of Surgery

Shabalkin B.V.

Petrovsky National Research Center of Surgery

Received:

08.04.2021

Accepted:

15.08.2021

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References:

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