ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mitral valve repair for ischemic mitral insufficiency: an increased early postoperative risk for the elderly
Cem Arıtürk1, Murat Ökten1, Ümit Gülllü1, Şahin Şenay1, Ali Buturak2, Selçuk Görmez2, Fevzi Toraman3, Hasan Karabulut1, Cem Alhan1
1Departments of Cardiovascular Surgery, Acıbadem University, İstanbul, Turkey
2Departments of Cardiology, Acıbadem University, İstanbul, Turkey
3Departments of Anaesthesiology and Reanimation, Acıbadem University, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.10645
Background: This study aims to evaluate our early results (first postoperative 30 days) of coronary artery bypass grafting (CABG) and complete or partial ring mitral annuloplasty procedures and to define the mortality rate in the patients with ischemic heart disease and ischemic mitral insufficiency.

Methods: Between May 2000 and May 2012, 180 consecutive patients underwent simultaneous CABG and complete or partial mitral ring annuloplasty for ischemic heart disease and moderate to severe ischemic mitral insufficiency. Prospectively collected data were analyzed retrospectively in terms of early outcomes.

Results: Thirty days mortality rate was 6.1% compared to a mean logistic EuroSCORE value of 9.2% (range 1.5 to 62.2). The mean intensive care unit and hospital stays were 49 (range 4 to 576) hours and 10 (range 0 to 105) days, respectively. The only independent risk factor for mortality was increased age (7.4 times higher mortality rate in patients aged more than 70 years compared to the younger patients, p=0.006).

Conclusion: Moderate to severe functional mitral regurgitation in ischemic heart disease may be treated with mitral valve repair combined with CABG with acceptable operative risk. However, advanced age (>70 years old) is an independent risk factor for 30-day mortality. This should be considered for operative planning.

Keywords : Coronary artery bypass grafting; ischemic mitral insufficiency; mitral valve repair
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