Moderate ischemic mitral regurgitation: To operate or to ignore?

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[Moderate ischemic mitral regurgitation: to operate or to ignore?].

INTRODUCTION Moderate ischemic mitral regurgitation (MR) is characterized by significant, symptomatic multivessel coronary disease and mitral regurgitation 2-3+. CASE OUTLINE A 60-year-old patient was admitted at the Cardiovascular Institute "Dedinje" due to the symptoms of unstable angina pectoris. He survived a myocardial infarction (inferoposterolateral localization) 8 years ago. On admiss...

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Surgical treatment of moderate ischemic mitral regurgitation.

BACKGROUND Ischemic mitral regurgitation is associated with increased mortality and morbidity. For surgical patients with moderate regurgitation, the benefits of adding mitral-valve repair to coronary-artery bypass grafting (CABG) are uncertain. METHODS We randomly assigned 301 patients with moderate ischemic mitral regurgitation to CABG alone or CABG plus mitral-valve repair (combined proced...

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Functional, ischemic mitral regurgitation: to repair or not to repair?

With an ever increasing population of patients with coronary artery disease complicated by chronic ischemic mitral regurgitation (IMR), the question of whether to perform mitral valve repair (MVRep) in addition to coronary artery bypass grafting (CABG) is one of the most common and controversial clinical dilemmas faced by cardiac surgeons today. At present, there is no definitive randomized, pr...

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What to do about ischemic mitral regurgitation?

M itral regurgitation (MR) can be classified as either degenerative or functional. Degenerative MR is due to disease, deformity, or damage of the mitral valve or its supporting apparatus. Functional MR is caused by improper coaptation of normal leaflets and apparatus and is due primarily to abnormalities of the left ventricle. Ischemic MR is a subset of functional MR (papillary muscle rupture, ...

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ژورنال

عنوان ژورنال: Srpski arhiv za celokupno lekarstvo

سال: 2009

ISSN: 0370-8179,2406-0895

DOI: 10.2298/sarh0906275t