SURGICAL TREATMENT OF MODERATE ISCHEMIC MITRAL INSUFFICIENCY



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Abstract

Ischemic mitral regurgitation is a widespread mitral valve pathology associated with left ventricular remodeling due to coronary disease in patients with normal valvular anatomy. It’s incidence continues to rise together with the improvement in survival after myocardial infarction. The presence of mitral regurgitation has a direct impact on treatment results and long-term quality of life after coronary artery bypass grafting. Owing to the new methods of instrumental and laboratory diagnostics development its pathophysiology is now well understood. Nevertheless, prior strategy working-out (especially in patients with moderate mitral regurgitation) remains one of the most actual and disputed questions. Current review shows several conceptions to solve this problem. There are some advantages and disadvantages of simultaneous myocardium revascularization with correction of moderate mitral valve disease. Under certain conditions, particularly in high risk patients, off-pump myocardial revascularization is proposed.

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About the authors

G G Khubulava

The Kirov Military Medical Academy

Сorresponding Member of the RAMS St.-Petersburg

A Mikhaylovich Volkov

The Kirov Military Medical Academy

Email: spb.volkov@mail.ru
St.-Petersburg

G M Ivanov

Federal State Healthcare Institution Clinical Hospital № 122 named after L.G. Sokolov, Federal Medical and Biological Agency

St.-Petersburg

E I Splender

Federal State Healthcare Institution Clinical Hospital № 122 named after L.G. Sokolov, Federal Medical and Biological Agency

St.-Petersburg

I A Yacenko

Municipal Mariinsky hospital

St.-Petersburg

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