Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: Rationale for optimizing surgical indications

• Published in: Circulation (New York, N.Y.) Vol. 99; no. 3; pp. 400 - 405
• Main Authors: TRIBOUILLOY, C. M, ENRIQUEZ-SARANO, M, SCHAFF, H. V, ORSZULAK, T. A, BAILEY, K. R, TAJIK, A. J, FRYE, R. L
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 26.01.1999; American Heart Association, Inc
• Subjects: Aged; Biological and medical sciences; Female; Heart Valve Prosthesis; Hospital Mortality; Humans; Male; Medical sciences; Middle Aged; Mitral Valve Insufficiency - mortality; Mitral Valve Insufficiency - surgery; Postoperative Complications - mortality; Prognosis; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Survival Analysis; Treatment Outcome; Human; Mitral valve; Prognosis; Cardiovascular disease; Long term; Five year survival; Symptomatology; Treatment; Cardiac valvular disease; Surgery; Risk factor; Mitral regurgitation; Evolution; Preoperative; Predictive factor

Surgical correction of mitral regurgitation in patients with no or mild symptoms remains controversial, particularly because the impact of preoperative symptoms on postoperative outcome is unknown. The long-term outcome of 478 patients with organic mitral regurgitation (199 in NYHA functional class...