Key result
Posterior annulus shortening with pericardial strip augmentation is linked to ~87% less ischemic mitral incompetence.
Why the study?
Does posterior annulus shortening with pericardial strip augmentation improve valve competence and long-term outcomes in patients with ischemic mitral incompetence?
Population
75 patients with ischemic mitral incompetence (mean age 64.6±10.4 years, median 66.0 years)
Design
Cohort
Follow-up
mean 7.62±0.66 years (median 8.53, range 3.6-20.9 years)
Authors
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May support posterior annulus shortening with pericardial augmentation in ischemic mitral incompetence; leaves open long-term durability without randomized trials.
Observational (n=75)
No
Does posterior annulus shortening with pericardial strip augmentation improve valve competence and long-term outcomes in patients with ischemic mitral incompetence?
Absolute Event Rate: 0.42% vs 3.3%
p-value: p=<0.001
Posterior annulus shortening with pericardial strip augmentation is an effective technique for restoring valve competence and providing durable long-term outcomes in patients with ischemic mitral incompetence.
Hetzer et al. (2015) conducted an observational in Ischemic mitral incompetence (n=75). Posterior annulus shortening with pericardial strip augmentation vs. Baseline was evaluated on Severity of mitral incompetence (grade) (p=<0.001). Posterior annulus shortening with pericardial strip augmentation significantly reduced the severity of ischemic mitral incompetence from a preoperative grade of 3.3 to 0.42 postoperatively.
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