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Mitral valve repair for ischemic mitral regurgitation using the Carpentier-McCarthy-Adams IMR ETlogix(R) ring: medium-term echocardiographic findings Mosquera VX; Bouzas-Mosquera A; Estevez F; Herrera JM; Campos V; Portela F; Alvarez N; Cuenca JJRev Esp Cardiol 2010[Oct]; 63 (10): 1200-4The aims of this study were to review the principles underlying use of the Carpentier-McCarthy-Adams IMR ETlogix(R) asymmetric annuloplasty ring for the treatment of chronic ischemic mitral regurgitation and to report medium-term clinical outcomes observed at our center. The in-hospital mortality rate was 2.8%. Echocardiography at hospital discharge confirmed the absence of mitral regurgitation in 88.8% of patients. Patients underwent clinical and echocardiographic follow-up (median duration, 23 months; range, 12-44 months). Late follow-up echocardiography demonstrated the recurrence of moderate mitral regurgitation in 5.7% of patients and of moderate-to-severe mitral regurgitation in 2.9%. The rate of survival free from recurrence of >/=grade-2 mitral regurgitation was 95.2% at 15 months and 88.9% at 25 months. Mitral valve repair using the asymmetric Carpentier-McCarthy-Adams IMR ETlogix(R) ring in patients with chronic ischemic mitral regurgitation enabled regurgitation to be effectively corrected by producing asymmetric changes in the morphology of the mitral ring. Medium-term outcomes, with regard to the degree of mitral valve competence, were excellent.|*Heart Valve Prosthesis[MESH]|Aged[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Heart Valve Prosthesis Implantation/mortality[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Mitral Valve Insufficiency/diagnostic imaging/*surgery[MESH]|Mitral Valve/diagnostic imaging/*surgery[MESH]|Prospective Studies[MESH]|Survival Analysis[MESH]|Treatment Outcome[MESH]|Ultrasonography[MESH] |
