Doppler-derived preoperative mitral regurgitation volume predicts postoperative left ventricular dysfunction after mitral valve repair

Background Unexpected postoperative left ventricular (LV) dysfunction after valve repair for mitral regurgitation (MR) occurs in some patients with normal preoperative LV function. Identification of factors that predispose to such LV dysfunction would enhance our understanding of the indications and...

Full description

Saved in:
Bibliographic Details
Published in:The American heart journal 2009-05, Vol.157 (5), p.875-882
Main Authors: Yamano, Tetsuhiro, MD, Gillinov, A. Marc, MD, Wada, Nozomi, MD, Matsumura, Yoshiki, MD, Toyono, Manatomo, MD, Thomas, James D., MD, Shiota, Takahiro, MD
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiology
Cardiology. Vascular system
Cardiovascular
Cardiovascular system
Echocardiography, Doppler - methods
Endocardial and cardiac valvular diseases
Female
Follow-Up Studies
Heart
Heart attacks
Heart failure
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Methods
Middle Aged
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - physiopathology
Mitral Valve Insufficiency - surgery
Myocardial Contraction - physiology
Postoperative Complications
Predictive Value of Tests
Preoperative Care - methods
Prognosis
Pulmonary arteries
Pulmonary hypertension
Regression analysis
Retrospective Studies
Surgery
Systole
Ultrasonic imaging
Ultrasonic investigative techniques
Veins & arteries
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - etiology
Ventricular Dysfunction, Left - physiopathology
Ventricular Function, Left - physiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Unexpected postoperative left ventricular (LV) dysfunction after valve repair for mitral regurgitation (MR) occurs in some patients with normal preoperative LV function. Identification of factors that predispose to such LV dysfunction would enhance our understanding of the indications and outcomes of surgery. Methods We retrospectively analyzed pre- and postoperative (median fourth day) echocardiograms of 174 patients undergoing valve repair for pure and isolated MR. Preoperative MR volume was quantified by the quantitative Doppler and/or proximal isovelocity surface area method. Results There was an incremental predictive value of MR quantification over the current recommendations (global χ2 from 48.14 to 81.57, P < .001; Hosmer-Lemeshow test, P = .98), for postoperative LV dysfunction, defined as ejection fraction
ISSN:0002-8703
1097-6744
DOI:10.1016/j.ahj.2009.03.001