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Effect of Recurrent Mitral Regurgitation After Mitral Valve Repair in Patients With Degenerative Mitral Regurgitation

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dc.contributor.author김정환-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이삭-
dc.contributor.author이승현-
dc.contributor.author장병철-
dc.contributor.author주현철-
dc.date.accessioned2018-08-28T16:41:37Z-
dc.date.available2018-08-28T16:41:37Z-
dc.date.issued2018-
dc.identifier.issn1346-9843-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161844-
dc.description.abstractBACKGROUND: This study investigated the consequences of recurrent mitral regurgitation (MR) after mitral valve (MV) repair in patients with degenerative MR and risk factors for recurrence.Methods and Results:From January 1990 to December 2015, 792 patients underwent MV repair due to degenerative MR. Recurrent MR was defined as moderate-to-severe MR on follow-up echocardiography. Mean follow-up duration was 8.71+/-5.58 years. During the follow-up period, MR recurred in 133 (16.8%) patients, and the MR recurrence-free rate at 20 years was 77.5+/-2.0%. In the recurrence group, the degree of MR decreased in 8 (6.0%) patients and was aggravated in 46 (34.6%) patients. Recurrent MR was associated with increased mortality and adverse left ventricular (LV) remodeling. Independent risk factors for MR recurrence were MV repair performed before 2000, preoperative atrial fibrillation, high LV end-diastolic dimension (LVEDD), prolapse of the isolated anterior leaflet or multiple segments, and absence of ring annuloplasty. Predictors of MR progression were high LVEDD and repair without artificial chordae implantation. CONCLUSIONS: Recurrent MR after MV repair in patients with degenerative MR showed a tendency to progress and was associated with increased mortality and adverse LV remodeling. Early referral for MV repair before development of atrial fibrillation and LV enlargement may reduce the risk of MR recurrence. Moreover, artificial chordae implantation and ring annuloplasty may assure the long-term durability of MV repair.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish, Japanese-
dc.publisherJapanese Circulation Society-
dc.relation.isPartOfCIRCULATION JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleEffect of Recurrent Mitral Regurgitation After Mitral Valve Repair in Patients With Degenerative Mitral Regurgitation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery-
dc.contributor.googleauthorJung-Hwan Kim-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorHyun-Chel Joo-
dc.contributor.googleauthorYoung-Nam Youn-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorSak Lee-
dc.identifier.doi10.1253/circj.CJ-17-0380-
dc.contributor.localIdA00905-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA02807-
dc.contributor.localIdA02935-
dc.contributor.localIdA03430-
dc.contributor.localIdA03960-
dc.relation.journalcodeJ00534-
dc.identifier.eissn1347-4820-
dc.identifier.pmid28724839-
dc.subject.keywordMitral regurgitation-
dc.subject.keywordMitral valve-
dc.subject.keywordValvular diseases-
dc.contributor.alternativeNameKim, Jung Hwan-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Sak-
dc.contributor.alternativeNameLee, Seung Hyun-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameJoo, Hyun Chel-
dc.contributor.affiliatedAuthorKim, Jung Hwan-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Sak-
dc.contributor.affiliatedAuthorLee, Seung Hyun-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorJoo, Hyun Chel-
dc.contributor.affiliatedAuthor김정환-
dc.contributor.affiliatedAuthor유경종-
dc.contributor.affiliatedAuthor윤영남-
dc.contributor.affiliatedAuthor이삭-
dc.contributor.affiliatedAuthor이승현-
dc.contributor.affiliatedAuthor장병철-
dc.contributor.affiliatedAuthor주현철-
dc.citation.volume82-
dc.citation.number1-
dc.citation.startPage93-
dc.citation.endPage101-
dc.identifier.bibliographicCitationCIRCULATION JOURNAL, Vol.82(1) : 93-101, 2018-
dc.identifier.rimsid59436-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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