Abstract
The article presents clinical observations of the patients with ischemic mitral regurgitation progression following combined
coronary artery bypass graft surgery (CABG) and left ventricular reconstructive surgery with the analysis of mechanisms that
caused downward trend in mitral regurgitation, as well as the strategy of treatment.
Based on the study conducted it was concluded that a detailed investigation and an analysis of a number of indicators of mitral
valve and left ventricular geometry before surgery, as well as performing of tests to assess myocardial viability and the amount
of scarring in patients with ischemic heart disease with moderate mitral regurgitation and severe left ventricular systolic dysfunction
including the presence of post-infarction left ventricular aneurysm will enable to predict the risk factors for mitral
regurgitation progression and to determine the indications for mitral valve surgery.
References
Литература/References
1. Campwala S.Z., Bansal R.C., Wang N., Rzzouk A., Pai R.G. Mitral regurgitation progression following isolated coronary artery bypass
surgery: frequency, risk factors, and potential prevention strategies. Eur. J. Cardiothoracic. Surg. 2006; 29: 348–54.
2. Filsoufi F., Sacha P., Salzberg M.D., Adams M.D. Current management of ischemic mitral regurgitation. Mt. Sinai J. Med. 2006; 72:
105–15.
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