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Home > Archives > Volume 20, No 12 (2022) > Article

DOI: 10.14704/nq.2022.20.12.NQ77007

Short Term Outcome of Combined CABG and Mitral Repair by Posterior Annuloplasty with Flexible Band Versus Coronary Revascularization Only in Moderate Ischemic Mitral Regurgitation

Sobhy Abouramadan1, Ehab Elshihy1, Mohamed Sewielam1, Fouad Rasekh1 and Ahmed Essam

Abstract

Background: The optimal treatment of moderate ischemic MR is a matter of debate. Some authors advocate for isolated coronary artery bypass grafting (CABG), aiming that reverse ventricular remodeling will reduce MR grade, while others argue that a concomitant mitral valve repair (MVR) or replacement gives better results.Objectives: In this study, we compare the short-term outcomes of repairing moderate ischemic mitral regurgitation by posterior annuloplasty with flexible band versus coronary revascularization alone.Patients and Methods: In the period between April 2019 and May 2020, 40 patients with moderate ischaemic mitral regurgitation (IMR) were divided in 2 groups and underwent open heart surgery at Cairo university hospitals. Group (A) had CABG surgery combined with MV repair by posterior annuloplasty with flexible band, while group (B) underwent CABG surgery alone. The preoperative, operative, postoperative, and 6 months follow up data of both groups were studied. Particular attention was paid to clinical findings of presence of mitral regurgitation, its nature and degree through pre- and postoperative echocardiography.

Keywords

Moderate, Ischemic Mitral Regurgitation, CABG, Mitral Valve Repair, flexible band, posterior annuloplasty, recurrence.

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