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Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse  Rakesh M. Suri, MD, DPhil, Hartzell.

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Presentation on theme: "Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse  Rakesh M. Suri, MD, DPhil, Hartzell."— Presentation transcript:

1 Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse  Rakesh M. Suri, MD, DPhil, Hartzell V. Schaff, MD, Joseph A. Dearani, MD, Thoralf M. Sundt, MD, Richard C. Daly, MD, Charles J. Mullany, MB, MS, Maurice Enriquez-Sarano, MD, Thomas A. Orszulak, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 137, Issue 5, Pages (May 2009) DOI: /j.jtcvs Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Change in mean left ventricular ejection fraction (EF), mean left ventricular end-diastolic dimension (LVEDD), and mean left ventricular end-systolic dimension (LVESD) between preoperative and last follow-up echocardiograms. A, After an initial decline from the preoperative (PreOP) period to the postoperative period, EF improved steadily and significantly with time from the predischarge (PreDC) echocardiogram to the last follow-up echocardiogram. B, LVEDD decreased significantly from PreOP to PreDC and continued to decline to last follow-up echocardiogram. C, No change in LVESD occurred in the early postoperative period, but significant LVESD regression occurred with time after discharge. The number of patients with grade of mitral regurgitation greater than 3+ (percent) is 983 (97) for PreOP; 46 (5) for PreDC; 4 (7) for ≤1 year; 9 (16) for 1 to 3 years; and 19 (18) for 3 to 5 years. Error bars indicate mean ± standard error. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 The effects of postoperative left ventricular dysfunction were evaluated by examining long-term recovery of left ventricular ejection fraction (EF). Patients who underwent mitral valve surgery were categorized into 2 groups on the basis of their predischarge (PreDC) EF and were evaluated at follow-up (≤1 year, 1–3 years, and 3–5 years) for long-term recovery of ventricular function. Patient numbers at each time period are noted. Error bars indicate mean ± standard error. PreOP, Preoperative. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Predictors of recovery of left ventricular ejection fraction (EF) during follow-up detailed through Kaplan–Meier plots delineating the percentage of patients who reattained normal left ventricular EF (EF ≥ 60%) over time after mitral value surgery. A, Recovery of normal EF stratified by preoperative (PreOP) EF (EF ≥ 65% or < 65%). B, Recovery of normal EF stratified by PreOP left ventricular end-systolic dimension (LVESD) (LVESD ≥ 36 mm or < 36 mm). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions


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