Why the study?
Does restrictive mitral annuloplasty combined with surgical ventricular reconstruction improve reverse left ventricular remodelling and survival compared to restrictive mitral annuloplasty alone in patients with ischaemic cardiomyopathy and functional mitral regurgitation?
Population
106 patients with ischaemic cardiomyopathy and functional mitral regurgitation (MR)
Comparison
Restrictive mitral annuloplasty combined with… vs Restrictive mitral annuloplasty (RMA) alone
Design
Cohort
Follow-up
4 years
Authors
Loading...
Should not yet alter practice in ischemic MR; leaves open possible survival benefit of adding SVR in moderate LV enlargement pending RCTs.
Does restrictive mitral annuloplasty combined with surgical ventricular reconstruction improve reverse left ventricular remodelling and survival compared to restrictive mitral annuloplasty alone in patients with ischaemic cardiomyopathy and functional mitral regurgitation?
Adding surgical ventricular reconstruction to restrictive mitral annuloplasty enhances reverse left ventricular remodelling and may improve survival in selected patients with advanced LV remodelling (LVESVI 105-150 mL/m2).
Kainuma et al. (2013) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: