BACKGROUND AND AIM OF THE STUDY: The optimal management of moderate (grade 2-3+) @entity339 ( @entity339 ) at the time of coronary artery bypass grafting (CABG) remains the subject of controversy. The study aim was to determine whether mitral repair associated with CABG is preferable to CABG alone in @entity1 with moderate @entity63 @entity339 , in terms of intermediate outcome. METHODS: Among 60 @entity1 with moderate @entity63 @entity339 , 30 who underwent CABG plus mitral repair were compared with 30 others who underwent CABG alone. All @entity1 underwent follow up echocardiographic and clinical examinations between 12 and 36 months after surgery. The decision to repair the valve during surgery was totally at the surgeons' discretion. RESULTS: Preoperatively, both groups were substantially homogeneous. @entity1 who had CABG plus mitral repair had a lower NYHA functional class at intermediate follow up, and fewer signs and symptoms of @entity712 . On multivariate analysis, mitral repair proved to be a protective factor for the development of @entity712 . The preoperative size of the mitral annulus was seen to be a risk factor for subsequent @entity712 events. At intermediate follow up, echocardiographic parameters were significantly better in the mitral repair group (left ventricular volume smaller, ejection fraction and pulmonary artery pressure improved). CONCLUSION: The results of this case-control study showed that, in a homogeneous series of @entity1 with moderate @entity63 @entity339 , repair of the mitral valve at the time of CABG leads to a better clinical status due to an improved hemodynamic profile.

Moderate XXXX and coronary artery bypass surgery: effect of mitral repair on clinical outcome.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity339 :: ('MESH:D008944', 'Disease') :: ['MR', 'ischemic mitral regurgitation'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic']
@entity339 :: (MESH:D008944,Disease) :: ['ischemic mitral regurgitation']
