Chronic ischemic mitral valve regurgitation and surgical perspectives  

作　　者：Salah Eldien Altarabsheh Salil V Deo Abeer Rababa'h Yagthan M Obeidat Osama Haddad 

机构地区：[1]Division of Cardiovascular Surgery,Queen Alia Heart Institute [2]Division of Cardiovascular Surgery,Harrington Heart and Vascular Institute,Case Western Reserve University [3]Department of Clinical Pharmacy,Jordan University of Science and Technology [4]Department of Cardiac Surgery,AlMana General Hospital [5]Department of Thoracic and Cardiovascular Surgery,Cleveland Clinic

出　　处：《World Journal of Cardiology》2018年第10期141-144,共4页世界心脏病学杂志（英文版）（电子版）

摘　　要：Chronic ischemic mitral valve regurgitation is a result of disturbed left ventricular geometry secondary to myocardial ischemia in the absence of intrinsic mitral valve pathology. It is a common complication after myocardial infarction, and patients who have ischemic mitral regurgitation(IMR) have a worse prognosis compared to patients who have ischemic heart disease alone, and this is directly related to the severity of IMR. Medical therapy has limited efficacy, and surgical options including various repair techniques and valve replacement had been tried with variable success. Still there is intense debate among surgeons whether to interfere with moderate degree IMR at the time of coronary artery revascularization.Chronic ischemic mitral valve regurgitation is a result of disturbed left ventricular geometry secondary to myocardial ischemia in the absence of intrinsic mitral valve pathology. It is a common complication after myocardial infarction, and patients who have ischemic mitral regurgitation(IMR) have a worse prognosis compared to patients who have ischemic heart disease alone, and this is directly related to the severity of IMR. Medical therapy has limited efficacy, and surgical options including various repair techniques and valve replacement had been tried with variable success. Still there is intense debate among surgeons whether to interfere with moderate degree IMR at the time of coronary artery revascularization.

关 键 词：MITRAL REGURGITATION MYOCARDIAL INFARCTION Ring ANNULOPLASTY Valve replacement 

分 类 号：R[医药卫生]