The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Mechanism of Recurrent Ischemic Mitral Regurgitation After Annuloplasty: Continued LV Remodeling as a Moving Target
Abstract
Background— Patients who undergo ring annuloplasty for ischemic mitral regurgitation (MR) often have persistent or recurrent MR. This may relate to persistent leaflet tethering from left ventricle (LV) dilatation that is not relieved by ring annuloplasty. Therefore, the purpose of this study was to test the hypothesis that recurrent MR in patients after ring annuloplasty relates to continued LV remodeling. Methods and Results— Serial echoes were reviewed in 30 patients (aged 72±11 years) who showed recurrent MR late (47±27 months) versus early (3.8±5.8 months) after ring annuloplasty for ischemic MR during coronary artery bypass grafting without interval infarction. Patients with intrinsic mitral valve disease were excluded. Echocardiographic measures of MR (vena contracta and jet area/left atrial area) and LV remodeling (LV dimensions, volumes, and sphericity) were assessed at each stage. The degree of MR increased from mild to moderate, on average, from early to late postoperative stages, without significant change in LV ejection fraction. Changes in MR paralleled increases in LV volumes and sphericity index at end-systole and end-diastole. The only independent predictor of late postoperative MR was LV sphericity index at end-systole. Conclusions— Recurrent MR late after ring annuloplasty is associated with continued LV remodeling, emphasizing its dynamic relation to the LV.
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Self-citationCardiac valve surgery—the “French correction”
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Self-citationUltrasonic Echolucent Carotid Plaques Predict Future Strokes
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Cited by
Secondary Mitral Regurgitation in Heart Failure
Asgar, A. W., Mack, M. J., & Stone, G. W. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.02.009 · Cited by 489
Ischemic Mitral Regurgitation on the Threshold of a Solution: From Paradoxes to Unifying Concepts
Levine, R. A., & Schwammenthal, E. (2005) · Circulation · doi:10.1161/circulationaha.104.486720 · Cited by 485
Self-citationPercutaneous Mitral Valve Edge-to-Edge Repair
Nickenig, G., Estevez-Loureiro, R., Franzen, O., Tamburino, C., Vanderheyden, M., Lüscher, T. F., Moat, N., Price, S., Dall’Ara, G., Winter, R., et al. (2014) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2014.06.1166 · Cited by 428
Atrial Functional Mitral Regurgitation
Deferm, S., Bertrand, P. B., Verbrugge, F. H., Verhaert, D., Rega, F., Thomas, J. D., & Vandervoort, P. M. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.02.061 · Cited by 396
Mitral valve disease—morphology and mechanisms
Levine, R. A., Hagége, A. A., Judge, D. P., Padala, M., Dal-Bianco, J. P., Aikawa, E., Beaudoin, J., Bischoff, J., Bouatia-Naji, N., Bruneval, P., et al. (2015) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2015.161 · Cited by 386
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Metadata
- Authors
- Hung, J., Papakostas, L., Tahta, S. A., Hardy, B. G., Bollen, B. A., Duran, C. M., & Levine, R. A.
- Venue
- Circulation
- Published
- 2004-09-14
- Volume
- 110
- Issue
- 11_suppl_1
- Pages
- II85-90
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2131729136
- Cited by
- 434
- References
- 28
- FWCI
- 15.70
- Type
- journal article
- Language
- en
- Open access
- closed
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- Hung, J., Papakostas, L., Tahta, S. A., Hardy, B. G., Bollen, B. A., Duran, C. M., & Levine, R. A. (2004). Mechanism of Recurrent Ischemic Mitral Regurgitation After Annuloplasty: Continued LV Remodeling as a Moving Target. Circulation. https://doi.org/10.1161/01.cir.0000138192.65015.45
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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