Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis

Detalhes bibliográficos
Autor(a) principal: Matsumura, Yoshiki
Data de Publicação: 2010
Outros Autores: Gillinov, A. Marc, Toyono, Manatomo, Oe, Hiroki, Yamano, Tetsuhiro, Takasaki, Kunitsugu, Saraiva, Roberto M., Shiota, Takahiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/37345
Resumo: Roberto M. Saraiva. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta a informação no documento.
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spelling Matsumura, YoshikiGillinov, A. MarcToyono, ManatomoOe, HirokiYamano, TetsuhiroTakasaki, KunitsuguSaraiva, Roberto M.Shiota, Takahiro2019-11-25T13:04:15Z2019-11-25T13:04:15Z2010MATSUMURA, Yoshiki et al. Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis. American Journal of Cardiology, v. 106, p. 701-706, 2010.0002-9149https://www.arca.fiocruz.br/handle/icict/3734510.1016/j.amjcard.2010.04.0301879-1913Roberto M. Saraiva. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta a informação no documento.2020-11-25Cleveland Clinic. Department of a Cardiovascular Medicine. Cleveland, OH, USA.Cleveland Clinic. Department of a Thoracic and Cardiovascular Surgery. Cleveland, OH, USA.Cleveland Clinic. Department of a Cardiovascular Medicine. Cleveland, OH, USA.Cleveland Clinic. Department of a Cardiovascular Medicine. Cleveland, OH, USA.Cleveland Clinic. Department of a Cardiovascular Medicine. Cleveland, OH, USA.Cleveland Clinic. Department of a Cardiovascular Medicine. Cleveland, OH, USA.Cleveland Clinic. Department of a Cardiovascular Medicine. Cleveland, OH, USA.Cedars-Sinai Medical Center. Cardiac Noninvasive Laboratory. Los Angeles, CA, USA.Moderate functional mitral regurgitation (MR) in patients with aortic valve stenosis (AS) is often left unaddressed at the time of aortic valve replacement (AVR) because it is expected to decrease after AVR. However, some patients have persistent moderate MR after AVR. We sought to determine the preoperative echocardiographic predictor for persistent functional MR after AVR in patients with AS. Pre- and postoperative echocardiograms were reviewed in 110 patients with severe AS and functional MR who underwent AVR without mitral valve (MV) surgery. Fifty-eight patients received concomitant coronary artery bypass graft surgery. In patients with MV tenting, defined as apical displacement of mitral leaflets in the apical 4-chamber view, MV tenting area and tenting height were measured at midsystole. Eighty patients had MV tenting (mean MV tenting area 1.4 +/- 0.5 cm2, mean MV tenting height 0.8 +/- 0.2 cm) and 30 did not have it before AVR. MR severity decreased in 51 of 80 patients (64%) with MV tenting after AVR and in 25 of 30 patients (83%) without MV tenting (p <0.05). In patients with MV tenting, multivariate analysis revealed that presence of long-term atrial fibrillation and MV tenting area were independent predictors of postoperative MR severity (all p values <0.05). The sensitivity and specificity in predicting persistent moderate MR after AVR were 72% and 82% for MV tenting area >1.4 cm2. In conclusion, preoperative MV tenting predicts persistent functional MR after AVR in patients with severe AS.engElsevierEchocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAortic valve stenosisAortic valve replacementFunctional mitral regurgitationEchocardiographic predictorsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/37345/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Matsumura_Yoshiki_etal_INI_2010.pdfve_Matsumura_Yoshiki_etal_INI_2010.pdfapplication/pdf958203https://www.arca.fiocruz.br/bitstream/icict/37345/2/ve_Matsumura_Yoshiki_etal_INI_2010.pdf185cd900576e6f2c5ad81b4e1de59fe0MD52TEXTve_Matsumura_Yoshiki_etal_INI_2010.pdf.txtve_Matsumura_Yoshiki_etal_INI_2010.pdf.txtExtracted texttext/plain29014https://www.arca.fiocruz.br/bitstream/icict/37345/3/ve_Matsumura_Yoshiki_etal_INI_2010.pdf.txt48b4b61626bf296b734109d5ee34d6dbMD53icict/373452021-03-24 16:32:39.579oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352021-03-24T19:32:39Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
title Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
spellingShingle Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
Matsumura, Yoshiki
Aortic valve stenosis
Aortic valve replacement
Functional mitral regurgitation
Echocardiographic predictors
title_short Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
title_full Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
title_fullStr Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
title_full_unstemmed Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
title_sort Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis
author Matsumura, Yoshiki
author_facet Matsumura, Yoshiki
Gillinov, A. Marc
Toyono, Manatomo
Oe, Hiroki
Yamano, Tetsuhiro
Takasaki, Kunitsugu
Saraiva, Roberto M.
Shiota, Takahiro
author_role author
author2 Gillinov, A. Marc
Toyono, Manatomo
Oe, Hiroki
Yamano, Tetsuhiro
Takasaki, Kunitsugu
Saraiva, Roberto M.
Shiota, Takahiro
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Matsumura, Yoshiki
Gillinov, A. Marc
Toyono, Manatomo
Oe, Hiroki
Yamano, Tetsuhiro
Takasaki, Kunitsugu
Saraiva, Roberto M.
Shiota, Takahiro
dc.subject.en.pt_BR.fl_str_mv Aortic valve stenosis
Aortic valve replacement
Functional mitral regurgitation
Echocardiographic predictors
topic Aortic valve stenosis
Aortic valve replacement
Functional mitral regurgitation
Echocardiographic predictors
description Roberto M. Saraiva. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta a informação no documento.
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2019-11-25T13:04:15Z
dc.date.available.fl_str_mv 2019-11-25T13:04:15Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MATSUMURA, Yoshiki et al. Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis. American Journal of Cardiology, v. 106, p. 701-706, 2010.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/37345
dc.identifier.issn.pt_BR.fl_str_mv 0002-9149
dc.identifier.doi.none.fl_str_mv 10.1016/j.amjcard.2010.04.030
dc.identifier.eissn.none.fl_str_mv 1879-1913
identifier_str_mv MATSUMURA, Yoshiki et al. Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosis. American Journal of Cardiology, v. 106, p. 701-706, 2010.
0002-9149
10.1016/j.amjcard.2010.04.030
1879-1913
url https://www.arca.fiocruz.br/handle/icict/37345
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instacron_str FIOCRUZ
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