%0 Journal Article
%T Predictor Analysis of Mid-Term Left Atrial Reverse Remodeling after Mitral Valve Surgery*
%A Kaoru Matsuura
%A Kenji Mogi
%A Manabu Sakurai
%A Tomonori Kawamura
%A Yoshiharu Takahara
%J World Journal of Cardiovascular Surgery
%P 52-57
%@ 2164-3210
%D 2013
%I Scientific Research Publishing
%R 10.4236/wjcs.2013.32009
%X <b><span>Objective:</span></b><span> The aim of this study was to predict mid-term left atrial reverse remodeling after mitral valve surgery. <b>Pa</b></span><b><span>tients and Methods:</span></b><span> Echocardiographic data was obtained preoperatively and at follow-up from 105 patients who un</span><span>derwent mitral valve surgery. Left atrial volume (LAV) was decreased by &gt;30% from baseline in 43 patients (group A), but not in 62 patients (group B).</span><span> </span><b><span>Results:</span></b><span> Patients in group A were younger (p = 0.0029). Male was more (p = 0.05) and prosthesis size was bigger in group A (p = 0.005). Only age was a predictor of left atrial reverse remodeling in a logistic regression model (OR = 0.93, 95% CI 0.88</span><span> - </span><span>0.99; p = 0.03). Late mean trans-mitral pressure gradient was lower in group A than in group B (p = 0.01). There was a weak correlation between the change in left ventricular end-diastolic diameter (LVDd) and LAV (correlation coefficient 0.27, 95% CI 0.07</span><span> - </span><span>0.45; p = 0.008). Survival and freedom from major adverse cardiac events did not differ between the groups (p = 0.31 and p = 0.87 by log-rank test). <b>Conclusions:</b> Age was the only predictor of left atrial reverse remodeling. There was a weak correlation between changes in LVDd and LAV.</span><span></span>
%K Atrium
%K Mitral Valve
%K Outcomes
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=33374