Résultats et indications de la coronarographie dans les valvulopathies mitrales.

Translated title of the contribution: Results and indications of coronarography in mitral valvulopathies

M. Enriquez-Sarano, J. P. Houllegatte, P. Luxereau, A. Vahanian, J. Acar

Research output: Contribution to journalArticle

Abstract

Selective coronary angiography was carried out in 110 patients (68 women, 42 men; average age 57 +/- 8 years) with significant, isolated, non-ischaemic mitral valve disease. The indication for coronary angiography was angina or myocardial infarction in 42 cases and the investigation was carried out routinely in the other 68 cases. Coronary stenosis greater than 50 p. 100 was demonstrated in 25 cases (22.7 p. 100), 18 single vessel, 5 double or triple vessel disease and 2 cases of stenosis of the left main stem. The incidence of coronary artery disease was higher in patients with cardiovascular risk factors (0 factors: 13 p. 100; 1 factor: 22 p. 100, 2 or 3 factors: 45 p. 100; p less than 0.01). The coronary patients had higher mean pulmonary artery pressures (33 +/- 16 mmHg vs 25 +/- 8 mmHg, p 0.001), higher left ventricular end diastolic pressures (12.5 +/- 7 mmHg vs 9 +/- 5 mmHg, p less than 0.01) and greater left ventricular end diastolic volumes (83 + 40 ml/m2 vd 59 +/- 29 ml/m2, p less than 0.01). There was no difference in segmental wall motion between coronary and non coronary patients. 89 patients were referred for surgery, 17 of whom had coronary artery disease. 5 patients underwent coronary bypass surgery. The incidence of peroperative cardiac complications (low output, ventricular arrhythmias, myocardial infarction) was higher in the coronary patients (53 p. 100 vs 18 p. 100, p less than 0.01). The 6 year survival rate was 75 +/- 8 p. 100.(ABSTRACT TRUNCATED AT 250 WORDS)

Translated title of the contributionResults and indications of coronarography in mitral valvulopathies
Original languageFrench
Pages (from-to)65-71
Number of pages7
JournalArchives des Maladies du Coeur et des Vaisseaux
Volume78
Issue number1
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Enriquez-Sarano, M., Houllegatte, J. P., Luxereau, P., Vahanian, A., & Acar, J. (1985). Résultats et indications de la coronarographie dans les valvulopathies mitrales. Archives des Maladies du Coeur et des Vaisseaux, 78(1), 65-71.