Evidence map›Paper›PMID 40587094›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2025

The reduction of ectopic burden after mitral valve surgery in patients with mitral annular disjunction.

Serkan Ertugay, Ayşen Yaprak Engin, Zehra Ünlü, Sedat Karaca, Evrim Şimşek, Emrah Oğuz, Mustafa Özbaran

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Mitral Valve Surgery with and Without Mitral Annular Disjunction: A Meta-Analysis.Journal of cardiovascular development and disease · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Serkan ErtugayDepartment of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0003-4129-2217
Ayşen Yaprak EnginDepartment of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0002-0763-2719
Zehra ÜnlüDepartment of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0002-2341-9619
Sedat KaracaDepartment of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0001-6761-2122
Evrim ŞimşekDepartment of Cardiology, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0003-3183-8060
Emrah OğuzDepartment of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0001-7000-6713
Mustafa ÖzbaranDepartment of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkiye.ORCID 0000-0003-0259-0799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMitral annular disjunction is a recognized risk factor for malignant ventricular arrhythmias in patients with mitral valve prolapse. This study aimed to evaluate the impact of mitral valve surgery on the burden of supraventricular and ventricular ectopic activity in patients with mitral annular disjunction.

methodsData from 32 patients who underwent mitral valve surgery between 2017 and 2024 were retrospectively analysed. The primary end-point was the change in the burden of supraventricular and ventricular ectopy following surgery. The secondary end-point was to assess whether this change differed according to the extent of the mitral annular disjunction distance.

resultsThe mean age of the patients was 38.8 ± 14 years, and 53.1% were female. The vast majority (96.9%) underwent successful mitral valve repair. The mean cardiopulmonary bypass and aortic cross-clamp times were 133.3 ± 38 min and 95.8 ± 32 min, respectively. Postoperatively, the mean burden of supraventricular ectopy decreased from 13.8% to 3.7%, and ventricular ectopy burden decreased from 7.1% to 2.1%. Among patients with a mitral annular disjunction distance ≥8.5 mm, both supraventricular and ventricular ectopic activity significantly declined. In contrast, for those with a mitral annular disjunction distance <8.5 mm, a significant reduction was observed only in ventricular ectopy, with no statistically significant change in supraventricular ectopy.

conclusionsMitral valve surgery is associated with a substantial reduction in both supraventricular and ventricular ectopic activity in patients with mitral annular disjunction. Furthermore, a mitral annular disjunction distance greater than 8.5 mm appears to be a predictor of a more pronounced reduction in arrhythmic burden following surgery.

Indexed as

Mitral ValveMitral Valve ProlapseVentricular Premature ComplexesAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment Outcomearrythmiamitral annular disjunctionmitral valve prolapsemitral valve surgery

Identifiers

PMID40587094
PMCPMC12240558

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