Mitral valve repair or replacement for ischemic mitral regurgitation

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Mitral valve repair or replacement for ischemic mitral regurgitation Mitral valve repair or replacement for ischemic mitral regurgitation? The Italian Study on the Treatment of Ischemic Mitral Regurgitation (ISTIMIR) Roberto Lorusso, MD, PhD, Sandro Gelsomino, MD, PhD, Enrico Vizzardi, MD, Antonio D'Aloia, MD, Giuseppe De Cicco, MD, Fabiana Lucà, MD, Orlando Parise, MSc, Gian Franco Gensini, MD, Pierluigi Stefàno, MD, Ugolino Livi, MD, Igor Vendramin, MD, Davide Pacini, MD, Roberto Di Bartolomeo, MD, Antonio Miceli, MD, PhD, Egidio Varone, MD, Mattia Glauber, MD, Alessandro Parolari, MD, Francesco Giuseppe Arlati, MD, Francesco Alamanni, MD, Filiberto Serraino, MD, Attilio Renzulli, MD, Antonio Messina, MD, PhD, Giovanni Troise, MD, Giovanni Mariscalco, MD, PhD, Marzia Cottini, MD, Cesare Beghi, MD, Francesco Nicolini, MD, PhD, Tiziano Gherli, MD, Valentino Borghetti, MD, Alessandro Pardini, MD, Philippe-Primo Caimmi, MD, Ezio Micalizzi, MD, Carlo Fino, MD, Paolo Ferrazzi, MD, Michele Di Mauro, MD, Antonio Maria Calafiore, MD The Journal of Thoracic and Cardiovascular Surgery Volume 145, Issue 1, Pages 128-139 (January 2013) DOI: 10.1016/j.jtcvs.2012.09.042 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Absolute standardized differences before and after propensity score matching comparing covariates values for patients undergoing mitral valve repair or replacement (see text). CPB, Cardiopulmonary bypass; ACC, aortic crossclamp; EDD, end diastolic diameter; ESV, end systolic volume; ESD, end systolic diameter; NYHA, New York Heart Association; EDV, end diastolic volume; CVD, cerebral vascular disease; MI, myocardial infarction; LVEF, left ventricular ejection fraction; PVD, peripheral vascular disease; COPD, chronic obstructive pulmonary disease; CRD, chronic renal disease; IABP, intra-aortic balloon pump; CHF, congestive heart failure; BSA, body surface area; AF, atrial fibrillation; CAD, coronary artery disease. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 128-139DOI: (10.1016/j.jtcvs.2012.09.042) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Actuarial survival in mitral valve repair (MVP) and mitral valve replacement (MVR). B, Actuarial survival in MVP and MVR by left ventricular ejection fraction (LVEF). The Journal of Thoracic and Cardiovascular Surgery 2013 145, 128-139DOI: (10.1016/j.jtcvs.2012.09.042) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Cumulative incidence plots depicting valve-related death. B, Cumulative incidence plots depicting cardiac-related death. C, Cumulative incidence plots depicting valve-related reoperations. D, Cumulative incidence plots depicting valve-related reoperations in biological vs mechanical prostheses. E, Cumulative incidence plots depicting structural valve deteriorations. F, Cumulative incidence plots depicting all valve-related complications. MVR, Mitral valve replacement; MVP, mitral valve plasty; BIO, biologic; MECH, mechanical. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 128-139DOI: (10.1016/j.jtcvs.2012.09.042) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions