Vol. 17 No. 3 (2013)
CORONARY ARTERY DISEASES

Effect of coronary artery bypass grafting and reconstruction of the left ventricle at moderate mitral insufficiency during surgical treatment of coronary artery disease with a low ejection fraction

A. Chernyavskiy
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
T. Ruzmatov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Efendiev
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
O. Yefanova
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
T. Podsosnikova
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio

Published 2013-09-17

Keywords

  • MITRAL REGURGITATION,
  • MITRAL INSUFFICIENCY,
  • LEFT VENTRICULAR RECONSTRUCTION,
  • CORONARY HEART DISEASE

How to Cite

Chernyavskiy, A., Ruzmatov, T., Efendiev, V., Yefanova, O., & Podsosnikova, T. (2013). Effect of coronary artery bypass grafting and reconstruction of the left ventricle at moderate mitral insufficiency during surgical treatment of coronary artery disease with a low ejection fraction. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 17(3), 14–17. https://doi.org/10.21688/1681-3472-2013-3-14-17

Abstract

The article presents the immediate results of a prospective randomized clinical study of surgical treatment of patients with ischemic heart disease, low ejection fraction and moderate mitral regurgitation. Patients were randomized into 2 groups. Group 1 included 41 patients who underwent coronary artery bypass grafting (CABG) combined with LV reconstruction, while Group 2 consisted of 45 patients who underwent isolated CABG. Hospital mortality in Group 1 was 2.4%, in Group 22.2%. Treating patients with CABG combined with LV reconstruction in case of Type I dysfunction of the left ventricle tends to reduce the degree of mitral regurgitation.

References

  1. Birnbaum Y., Chamoun A.J., Conti V.R. et al. // Coron. Artery Dis. 2002. V. 13 (6). P. 337-344.
  2. Grigioni F. et al. // Circulation. 2001. V. 103. P. 1759-1764.
  3. Ypenburg C., Lancellotti P., Tops L.F. et al. // J. Am. Coll. Cardiol. 2007. V. 50. P. 2071-2077.
  4. Gorman R.C., Gorman J.H., Edmunds L.H. Jr. Ischemic Mitral Regurgitation. New York, 2003.
  5. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия. Болезни и врожденные аномалии системы кровообращения. М., 2007.
  6. Hernandez A.F., Velazquez E.J. et al. // Am. Heart J. 2006. P. 1-6.
  7. Dor V. // Heart Fail Rev. 2001. V. 6. P. 187-193.
  8. Чернявский А.М., Караськов А.М., Марченко А.В., Хапаев С.А. Реконструктивная хирургия постинфарктных аневризм левого желудочка. Новосибирск, 2003.
  9. Yiu H.Y., Su M.Y., Liao T.Y. et al. // J. Thorac. Cardiovasc. Surg. 2004. V. 128. P. 543-551.
  10. Amigoni M., Meris A. et al. // Eur. Heart J. 2007. V. 28. P. 326-333.
  11. Prucz R.B., Weiss E.S., Patel N.D. et al. // Ann. Thorac. Surg. 2008. V. 86. P. 726-734.
  12. Trichon B.H., Felker M. et al. // Am. J. Cardiol. 2003. V. 91. P. 538-543.
  13. Yotsumoto G., Sakata R., Ueno T. et al. // Ann. Thorac. Cardiovasc. Surg. 2005. V. 11. P. 159-163.
  14. Otsuji Y., Kuwahara E. et al. // Am. J. Cardiol. 2005. V. 95. P. 517-521.
  15. Menicanti L., Di Donato M., Castelvecchio S. et al. // Heart Fail. Rev. 2004. V. 9. P. 317-327.