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Mitral valve repair for ischemic mitral regurgitation.
Ann Cardiothorac Surg 2015; 4(3):284-90AC

Abstract

Mitral valve repair for ischemic mitral valve regurgitation remains controversial. In moderate mitral regurgitation (MR), controversy exists whether revascularization alone will be adequate to restore native valve geometry or whether intervention on the valve (repair) should be performed concomitantly. When MR is severe, the need for valve intervention is not disputed. Rather, the controversy is whether repair versus replacement should be undertaken. In contrast to degenerative or myxomatous disease that directly affects leaflet integrity and morphology, ischemic FMR results from a distortion and dilation of native ventricular geometry that normally supports normal leaflet coaptation. To address this, the first and most crucial step in successful valve repair is placement of an undersized, complete remodeling annuloplasty ring to restore the annulus to its native geometry. The following article outlines the steps for repair of ischemic mitral regurgitation.

Authors+Show Affiliations

Brigham and Women's Hospital, Harvard Medical School, Boston, USA.Brigham and Women's Hospital, Harvard Medical School, Boston, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

26309832

Citation

Mohebali, Jahan, and Frederick Y. Chen. "Mitral Valve Repair for Ischemic Mitral Regurgitation." Annals of Cardiothoracic Surgery, vol. 4, no. 3, 2015, pp. 284-90.
Mohebali J, Chen FY. Mitral valve repair for ischemic mitral regurgitation. Ann Cardiothorac Surg. 2015;4(3):284-90.
Mohebali, J., & Chen, F. Y. (2015). Mitral valve repair for ischemic mitral regurgitation. Annals of Cardiothoracic Surgery, 4(3), pp. 284-90. doi:10.3978/j.issn.2225-319X.2015.05.05.
Mohebali J, Chen FY. Mitral Valve Repair for Ischemic Mitral Regurgitation. Ann Cardiothorac Surg. 2015;4(3):284-90. PubMed PMID: 26309832.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mitral valve repair for ischemic mitral regurgitation. AU - Mohebali,Jahan, AU - Chen,Frederick Y, PY - 2014/11/26/received PY - 2015/01/06/accepted PY - 2015/8/27/entrez PY - 2015/8/27/pubmed PY - 2015/8/27/medline KW - Mitral valve repair KW - annuloplasty KW - ischemic functional mitral regurgitation SP - 284 EP - 90 JF - Annals of cardiothoracic surgery JO - Ann Cardiothorac Surg VL - 4 IS - 3 N2 - Mitral valve repair for ischemic mitral valve regurgitation remains controversial. In moderate mitral regurgitation (MR), controversy exists whether revascularization alone will be adequate to restore native valve geometry or whether intervention on the valve (repair) should be performed concomitantly. When MR is severe, the need for valve intervention is not disputed. Rather, the controversy is whether repair versus replacement should be undertaken. In contrast to degenerative or myxomatous disease that directly affects leaflet integrity and morphology, ischemic FMR results from a distortion and dilation of native ventricular geometry that normally supports normal leaflet coaptation. To address this, the first and most crucial step in successful valve repair is placement of an undersized, complete remodeling annuloplasty ring to restore the annulus to its native geometry. The following article outlines the steps for repair of ischemic mitral regurgitation. SN - 2225-319X UR - https://www.unboundmedicine.com/medline/citation/26309832/Mitral_valve_repair_for_ischemic_mitral_regurgitation_ L2 - https://doi.org/10.3978/j.issn.2225-319X.2015.05.05 DB - PRIME DP - Unbound Medicine ER -