What Happens to Mild-to-Moderate Chronic Ischemic Mitral Regurgitation Following Isolated Coronary Artery Bypass Surgery?
1Department of Cardiovascular Surgery, Bandırma On Yedi Eylül University Faculty of Medicine, Balıkesir, Türkiye
2Clinic of Cardiovascular Surgery, Bandırma Training and Research Hospital, Balıkesir, Türkiye
3Department of Cardiovascular Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Türkiye
Keywords: Mitral valve regurgitation; echocardiography; coronary artery bypass surgery
Introduction: The aim of this study was to assess the efficacy of isolated coronary artery bypass grafting (CABG) on preoperatively existing mild-to-moderate chronic ischemic mitral regurgitation.
Patients and Methods: A retrospective analysis was conducted on 30 patients who had coronary artery disease and chronic ischemic mitral regurgitation, and underwent isolated CABG at the Department of Cardiovascular Surgery, Kocaeli University, between January 2012 and February 2014. Preoperative demographic and clinical characteristics, as well as postoperative outcomes, were evaluated. The degree of IMR, left ventricular ejection fraction (LVEF), left ventricular end-systolic dimension (LVESD), left ventricular end-diastolic dimension (LVEDD), and left atrial dimension (LAD) were assessed preoperatively, and at the postoperative 12th month.
Results: There was no mortality during the early postoperative period. There were statistically similar measurements for LVEF, LVESD, LVEDD, and LAD between preoperative and postoperative periods (p> 0.05). However, a decrease in the degree of IMR was detected during the specified periods (p< 0.05).
Conclusion: Isolated CABG can be safely performed in patients with mild/moderate chronic ischemic mitral regurgitation. The efficacy of isolated CABG was demonstrated to improve the degree of mitral regurgitation in selected patients based on echocardiographic measurements.
Cite this article as: Durmaz D, Gündöner S, Tekümit H, Berki KT. What happens to mild-to-moderate chronic ischemic mitral regurgitation following isolated coronary artery bypass surgery? Koşuyolu Heart J 2023;26(3):139-144.
This study was approved by the Kocaeli University Clinical Research Ethics Committee (Decision no: 25/13, Date: 30.12.2014).
This is retrospective study, we could not obtain written informed consent from the participants.
Concept/Design - DD; Analysis/Interpretation - HT; Data Collection - SG; Writing - DD; Critical Revision - KTB; Final Approval - DD; Statistical Analysis -SG; Overall Responsibility - DD.
The authors have no conflicts of interest to declare.
The authors declare that this study has received no financial support.