Key result
Combined CABG and mitral valve intervention for ischemic mitral insufficiency yielded similar rates of postoperative heart failure compared to isolated CABG (8.0% vs 9.2%; p>0.05).
Why the study?
To analyze the short-term outcomes of surgical treatment in patients with ischemic heart disease complicated by ischemic mitral insufficiency, depending on its severity and the surgical scope.
Does combined CABG and mitral valve intervention increase perioperative complications and hospital mortality compared to isolated CABG in patients with ischemic heart disease and ischemic mitral insufficiency?
Cohort (n=159)
Does combined CABG and mitral valve intervention increase perioperative complications and hospital mortality compared to isolated CABG in patients with ischemic heart disease and ischemic mitral insufficiency?
Absolute Event Rate: 8% vs 9.2%
p-value: p=>0.05
Combined CABG and mitral valve repair for ischemic mitral insufficiency does not increase short-term perioperative complications or hospital mortality compared to isolated CABG.
May support safety of combined CABG and mitral intervention in ischemic MR; hypothesis-generating and should not yet change practice.
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Жбанов et al. (2021) conducted a cohort in Coronary artery disease with ischemic mitral insufficiency (n=159). Combined CABG and mitral valve intervention vs. Isolated CABG was evaluated on Postoperative heart failure requiring cardiotonic infusion (p=>0.05). Combined CABG and mitral valve intervention for ischemic mitral insufficiency yielded similar rates of postoperative heart failure compared to isolated CABG (8.0% vs 9.2%; p>0.05).
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