Skip Navigation


European Journal of Echocardiography Advance Access originally published online on September 26, 2008
European Journal of Echocardiography 2009 10(2):309-313; doi:10.1093/ejechocard/jen247
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
10/2/309    most recent
jen247v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Chrustowicz, A.
Right arrow Articles by Gackowski, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chrustowicz, A.
Right arrow Articles by Gackowski, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Right ventricular dilatation predicts survival after mitral valve repair in patients with impaired left ventricular systolic function

Anton Chrustowicz1,2,*,{dagger}, Gregor Simonis1,*,{dagger}, Klaus Matschke3, Ruth H. Strasser1 and Andrzej Gackowski2

1 Department of Internal Medicine, Cardiology and Intensive Care, University of Technology, Heart Centre Dresden, Fetscherstrasse 76, D-01307 Dresden, Germany
2 Department of Coronary Disease, Institute of Cardiology, Pradnicka 80, 31-202 Krakow, Poland
3 Department of Cardiac Surgery, University of Technology, Dresden, Germany

Received 24 May 2008; accepted after revision 31 August 2008; online publish-ahead-of-print 26 September 2008.

* Corresponding author. Tel: +48 510599279; fax: +48 12 6336744. E-mail address: anton_chrustowicz{at}yahoo.de (A.C.); Tel: +49 351 450 1410; fax: +49 351 450 1702. E-mail address: gsimonis{at}gmx.de (G.S.)


  Abstract

Aims: The prognostic value of the right ventricular parameters in patients with heart failure (HF) is well documented, but the data on patients undergoing mitral valve repair are lacking.

Methods and results: The association between pre-operative right ventricular dilatation and outcome was studied in 70 consecutive patients with HF who underwent elective mitral valve repair. Mean age was 67 years, 71% were men, mean pre-operative NYHA class was 2.8, mean pre-operative ejection fraction was 31%, and 47% had atrial fibrillation. The ischaemic cardiomyopathy (ICM) was the cause of HF in 32% of the patients. Perioperative mortality was 7.1% by a median logistic Euroscore of 7.5 (range 1.3–47.5). During a mean follow-up of 887 days, 35% of the patients reached the combined endpoint of overall mortality or transplantation. Reoperation was performed in four patients. One and 3 years survival rates were 88% and 72%, respectively. By multivariate Cox analysis, right ventricular dilatation, ICM, and age significantly predicted the outcome.

Conclusion: Right ventricular dilatation is an important modulator of outcome in patients with HF and mitral regurgitation.

Keywords: Heart failure; Mitral regurgitation; Right ventricle; Mitral valve repair; Survival

{dagger} A.C. and G.S. contributed equally to this work.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.