OBJECTIVES: This study reports survival, functional status, the change in post-operative left ventricular dimensions and function after'undersized mitral annuloplasty' in @entity1 with non-ischaemic @entity384 and secondary @entity339 . @entity1 AND METHODS: Between 2003 and 2009 10 @entity1 (mean age 61.5 +/- 14 years) with non-ischaemic, @entity384 with left ventricular ejection fraction (LV EF) <40% (mean +/- SD, 30.7 +/- 5.27) underwent isolated mitral repair and annuloplasty. All @entity1 were receiving maximal drug therapy. Preoperatively 1 @entity1 (10%) was functioning in New York Heart Association (NYHA) class II, 8 @entity1 (80%) in class III and 1 @entity1 (10%) in class IV. Transthoracic echocardiography was performed immediately before surgery and one year after surgery to assess valvular and ventricular function. For statistical analysis we have used paired t-tests and Wilcoxon's rank test. RESULTS: There were no hospital deaths. Duration of intubation and ICU stay was 1.8 +/- 1.3 and 3.8 +/- 1.8 days, respectively. Functional class after one year was significantly better than the preoperative value (from 3.00 +/- 0.47 to 1.40 +/- 0.52, P<0.001). One year post-operative data showed significant improvement of LV EF (from 30.70 +/- 5.27 to 46.60 +/- 14.47%) and a decrease of the left ventricular diastolic dimension (LVDd) (from 59.30 +/- 5.62 to 50.70 +/- 6.04 mm). CONCLUSION: Isolated undersized mitral annuloplasty in @entity1 with non-ischaemic @entity384 with associated @entity339 , is a safe method with the potential of improving functional class, LV EF, and LVDd after one year.

Mitral annuloplasty for @entity384 with XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity384 :: ('MESH:D002311', 'Disease') :: ['non-valvular dilated cardiomyopathy'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral regurgitation']
@entity339 :: (MESH:D008944,Disease) :: ['mitral regurgitation']
