open access

Vol 64, No 9 (2006)
Other
Published online: 2006-10-11
Submitted: 2012-12-28
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Original article
Value of transesophageal dobutamine stress echocardiography for selection of the type of cardiac surgery in significant ischaemic mitral insufficiency

Janusz Kochanowski, Piotr Scisło, Dariusz Kosior, Piotr Suwalski, Radosław Piątkowski, Andrzej Kurowski, Kazimierz B. Suwalski, Grzegorz Opolski
Kardiol Pol 2006;64(9):939-946.

open access

Vol 64, No 9 (2006)
Other
Published online: 2006-10-11
Submitted: 2012-12-28

Abstract

Background: Ischaemic mitral regurgitation (IMR) may be surgically treated by isolated myocardial revascularisation or in combination with valve repair. Dobutamine stress echocardiography (DSE) may be helpful in selecting an optimal surgical strategy. Aim: To develop the optimal surgical approach to patients (pts) with significant (ERO łO2 cm2) IMR on the basis of TEE-DSE. An attempt was undertaken to select patients in whom coronary revascularisation should be performed alone or in combination with reconstruction of mitral apparatus. Methods: The study group comprised 212 pts (M/F – 134/78; mean age 65±10 years) with a history of Q-wave myocardial infarction qualified to elective surgical revascularisation on the basis of coronary angiography. In 25 pts with significant IMR (ejection fraction

Abstract

Background: Ischaemic mitral regurgitation (IMR) may be surgically treated by isolated myocardial revascularisation or in combination with valve repair. Dobutamine stress echocardiography (DSE) may be helpful in selecting an optimal surgical strategy. Aim: To develop the optimal surgical approach to patients (pts) with significant (ERO łO2 cm2) IMR on the basis of TEE-DSE. An attempt was undertaken to select patients in whom coronary revascularisation should be performed alone or in combination with reconstruction of mitral apparatus. Methods: The study group comprised 212 pts (M/F – 134/78; mean age 65±10 years) with a history of Q-wave myocardial infarction qualified to elective surgical revascularisation on the basis of coronary angiography. In 25 pts with significant IMR (ejection fraction
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Keywords

ischaemic mitral regurgitation; echocardiography; transesophageal dobutamine stress echocardiography

About this article
Title

Original article
Value of transesophageal dobutamine stress echocardiography for selection of the type of cardiac surgery in significant ischaemic mitral insufficiency

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 9 (2006)

Pages

939-946

Published online

2006-10-11

Bibliographic record

Kardiol Pol 2006;64(9):939-946.

Keywords

ischaemic mitral regurgitation
echocardiography
transesophageal dobutamine stress echocardiography

Authors

Janusz Kochanowski
Piotr Scisło
Dariusz Kosior
Piotr Suwalski
Radosław Piątkowski
Andrzej Kurowski
Kazimierz B. Suwalski
Grzegorz Opolski

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