3D echo was used to preoperatively assess the likelihood of recurrent MR after ring annuloplasty for ischemic MR. Recurrence was asssociated with P3 tethering angle greater than 29.9 degrees (accuracy 92%). The authors suggest that valve replacement rather than ring annuloplasty should be considered in such patients.
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Preoperative Three-Dimensional Valve Analysis Predicts Recurrent Ischemic Mitral Regurgitation After Mitral Annuloplasty
Submitted by: Mark Ferguson
Source: Annals of Thoracic Surgery
Keywords:
Author(s): Wobbe Bouma, Eric K. Lai, Melissa M. Levack, Eric K. Shang, Alison M. Pouch, Thomas J. Eperjesi, Theodore J. Plappert, Paul A. Yushkevich, Massimo A. Mariani, Kamal R. Khabbaz, Thomas G. Gleason, Feroze Mahmood, Michael A. Acker, Y. Joseph Woo, Albert T. Cheung, Benjamin M. Jackson, Joseph H. Gorman III, Robert C. Gorman
