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Surgical management of the functional mitral regurgitation in heart failure patients


Starck, Christoph Thomas; Schönrath, Felix; Scherman, Jacques; Caliskan, Etem; Falk, Volkmar (2013). Surgical management of the functional mitral regurgitation in heart failure patients. Cardiovascular Medicine, 16(3):82-86.

Abstract

Relevant secondary mitral regurgitation occurs in 35–50% of patients with chronic heart failure and is associated with increased mortality. Surgical management of patients with mitral valve regurgitation and heart failure remains controversial. There are several questions which are not sufficiently clarified because of a lack of prospective randomised controlled trials: (1.) The indication for concomitant mitral valve surgery in patients undergoing coronary artery bypass grafting (CABG) with moderate to severe mitral valve regurgitation; (2.) the management of functional mitral valve regurgitation; (3.) the appropriate surgical strategy: repair or chordal-sparing replacement.

Abstract

Relevant secondary mitral regurgitation occurs in 35–50% of patients with chronic heart failure and is associated with increased mortality. Surgical management of patients with mitral valve regurgitation and heart failure remains controversial. There are several questions which are not sufficiently clarified because of a lack of prospective randomised controlled trials: (1.) The indication for concomitant mitral valve surgery in patients undergoing coronary artery bypass grafting (CABG) with moderate to severe mitral valve regurgitation; (2.) the management of functional mitral valve regurgitation; (3.) the appropriate surgical strategy: repair or chordal-sparing replacement.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2013
Deposited On:04 Feb 2014 07:27
Last Modified:08 Dec 2017 02:52
Publisher:EMH Swiss Medical Publishers
ISSN:1423-5528
Free access at:Official URL. An embargo period may apply.
Official URL:http://www.cardiovascmed.ch/docs/cvm/2013/03/en/cvm-00151.pdf

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