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Preoperative Three-Dimensional Valve Analysis Predicts Recurrent Ischemic Mitral Regurgitation After Mitral Annuloplasty

Saturday, January 30, 2016

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975%2815%2901584-2/abstract

Author(s)

Wobbe Bouma, Eric K. Lai, Melissa M. Levack, Eric K. Shang, Alison M. Pouch, Thomas J. Eperjesi, Theodore J. Plappert, Paul A. Yushkevich, Massimo A. Mariani, Kamal R. Khabbaz, Thomas G. Gleason, Feroze Mahmood, Michael A. Acker, Y. Joseph Woo, Albert T. Cheung, Benjamin M. Jackson, Joseph H. Gorman III, Robert C. Gorman

3D echo was used to preoperatively assess the likelihood of recurrent MR after ring annuloplasty for ischemic MR. Recurrence was asssociated with P3 tethering angle greater than 29.9 degrees (accuracy 92%). The authors suggest that valve replacement rather than ring annuloplasty should be considered in such patients.