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Ann Thorac Surg 2006;82:2110
© 2006 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Jerry Braun, MD

Cardiothoracic Surgery, Leiden University Medical Center, Postbus 9600, Leiden, 2300 RC the Netherlands

(Email: j.braun@lumc.nl).

The first 20% of the full text of this article appears below.

The article presented by Barletta and coworkers [1] addresses an interesting topic in heart failure surgery: how can we preoperatively identify patients who will show mitral regurgitation after surgical ventricular restoration (SVR)?

The authors have identified preoperative hemodynamic factors (mean pulmonary artery pressure and pulmonary capillary wedge pressure), but the more important findings emerge from their (laborious) analysis of left ventricular angiograms preoperatively and postoperatively.

The main results are very nicely represented graphically (especially Figs 1 and 2) to show that inferior akinesia with inferobasal normokinesia results in preoperative mitral regurgitation . . . [Full Text of this Article]


Related Article

Preoperative and Late Postoperative Mitral Regurgitation in Ventricular Reconstruction: Role of Local Left Ventricular Deformation
Giuseppe Barletta, Anna Toso, Riccarda Del Bene, Marisa Di Donato, Michel Sabatier, and Vincent Dor
Ann. Thorac. Surg. 2006 82: 2102-2109. [Abstract] [Full Text] [PDF]





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