Mitral Valve Repair vs Replacement in Patients with Ischemic Mitral Regurge Undergoing Coronary Artery Bypass Graft. | ||
| The Egyptian Journal of Surgery | ||
| Article 6, Volume 44, Issue 3, July 2025, Pages 854-861 PDF (385.32 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2024.341783.1302 | ||
| Authors | ||
| Mohammed Mahmoud Helmy* ; Ashraf Abdalla Elsebaie; Yasser Mahmoud Elnahas; Tamer Shahat Hikal | ||
| Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: Chronic ischemic mitral regurgitation (IMR), commonly resulting from myocardial infarction, is associated with significant morbidity and mortality. Despite surgical advancements, the optimal treatment remains debated. This study's objective is comparing the early results of mitral valve repair versus mitral valve replacement in individuals with ischemic mitral regurgitation who are undergoing coronary artery bypass graft surgery. Patients and Methods: Conducted between 2022 and 2024, this prospective comparative study took place at Ain Shams University Hospitals and Maadi Military Hospital, enrolling 50 patients with moderate to severe ischemic mitral regurgitation (IMR) undergoing coronary artery bypass grafting (CABG). The patients were equally distributed into Group A for mitral valve repair (MV repair) and Group B for mitral valve replacement (MVR). Results: Intraoperative data included a mean total bypass time of 154.7±28.5 minutes and an aortic cross-clamp time of 121.3±18.4 minutes. The ICU stay averaged 2.34±1.16 days. Postoperative mitral regurgitation (MR) improvement was significant: 80% of Group A (MV repair) had mild or no regurgitation postoperatively, compared to 96% in Group B (MVR) (p<0.01). Mortality was 4% in both groups, with no significant differences in length of stay, ICU stay, or reoperation for bleeding (p>0.05). Conclusion: Both MV repair and MVR provided similar early outcomes in terms of mortality, morbidity, and recovery, though MVR was associated with a more favorable postoperative MR outcome. | ||
| Keywords | ||
| Coronary Artery Bypass Grafting; Ischemic Mitral Regurgitation; Mitral Valve Repair; Mitral Valve Replacement; Prospective Comparative Study | ||
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