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