Surgical revascularization is associated with maximal survival in patients with ischemic mitral regurgitation: a 20-year experience.

ABSTRACT:

Background

The optimal treatment for ischemic mitral regurgitation remains actively debated. Our objective was to evaluate the relationship between ischemic mitral regurgitation treatment strategy and survival.

Methods and results

We retrospectively reviewed patients at our institution diagnosed with significant coronary artery disease and moderate or severe ischemic mitral regurgitation from 1990 to 2009, categorized by medical treatment alone, percutaneous coronary intervention, coronary artery bypass grafting (CABG), or CABG plus mitral valve repair or replacement. Kaplan-Meier methods and multivariable Cox proportional hazards analyses were performed to assess the relationship between treatment strategy and survival, with the use of propensity scores to account for nonra

SUBMITTER: Castleberry AW 

PROVIDER: S-EPMC4142433 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature