title: Moderate ischemic mitral regurgitation: Is there a case for early intervention?
abstract: Ischemic mitral regurgitation (IMR) results from left ventricular remodelling after myocardial infarction and severely affects cardiovascular mortality and morbidity. Ischemic mitral valve regurgitation also represents a negative prognostic factor for long-term survival in patients undergoing surgical myocardial revascularization. While severe mitral regurgitation should always be corrected during a coronary artery bypass operation, the decision making is more difficult in patients with a moderate degree of regurgitation. In this review, we wish to highlight the negative impact of IMR on long-term survival and discuss the available evidence for surgical correction of IMR at the time of coronary revascularization.
authors: Section of Cardiac Surgery, Department of Cardiac Sciences, King Abdulaziz Cardiac Center, National Guard Health Affairs, Saudi Arabia.
authors: Hani K
authors: HK
authors: Najm
authors: Ahmed A
authors: AA
authors: Arifi
authors: Ahmed S
authors: AS
authors: Omran
authors: Munir
authors: M
authors: Ahmad
keywords: Coronary revascularization; Moderate ischemic MR; Survival
references: J Am Coll Cardiol. 2006 Aug 1;48(3):e1-148
references: 16875962
references: Circulation. 2006 Jul 4;114(1 Suppl):I588-93
references: 16820643
references: Tex Heart Inst J. 2009;36(4):287-92
references: 19693300
references: Ann Thorac Surg. 2003 Nov;76(5):1539-487; discussion 1547-8
references: 14602283
references: J Thorac Cardiovasc Surg. 2004 Mar;127(3):636-44
references: 15001891
references: Circulation. 2007 Sep 11;116(11 Suppl):I288-93
references: 17846319
references: Ann Thorac Surg. 2008 Feb;85(2):430-6; discussion 436-7
references: 18222238
references: Interact Cardiovasc Thorac Surg. 2006 Aug;5(4):392-7
references: 17670600
references: Ann Thorac Surg. 2005 Jun;79(6):1895-901
references: 15919280
references: Circulation. 2009 Oct 13;120(15):1474-81
references: 19786637
references: Circulation. 2005 Jan 25;111(3):295-301
references: 15655133
references: Ann Thorac Surg. 2008 Sep;86(3):735-44
references: 18721554
references: Ann Thorac Surg. 2002 Nov;74(5):1468-75
references: 12440594
references: Circulation. 2004 Sep 14;110(11 Suppl 1):II85-90
references: 15364844
references: Circulation. 2003 Sep 9;108 Suppl 1:II103-10
references: 12970217
references: Circulation. 2001 Apr 3;103(13):1759-64
references: 11282907
references: J Thorac Cardiovasc Surg. 2001 Dec;122(6):1125-41
references: 11726887
references: Circulation. 2006 Jul 4;114(1 Suppl):I573-6
references: 16820640