title: Surgical treatment of functional mitral regurgitation in dilated cardiomyopathy.
abstract: Functional mitral regurgitation is a significant complication of end-stage cardiomyopathy. Dysfunction of one or more components of the mitral valve apparatus occurs in 39-74% and affects almost all heart failure patients. Survival is decreased in subjects with more than mild mitral regurgitation irrespective of the aetiology of heart failure. The goal of treating functional mitral regurgitation is to slow or reverse ventricular remodelling, improve symptoms and functional class, decrease the frequency of hospitalization for congestive heart failure, slow progression to advanced heart failure (time to transplant) and improve survival. This article reviews the role of mitral valve surgery in patients with heart failure and dilated cardiomyopathy.
authors.affiliation: Adult Cardiology Department, Prince Sultan Cardiac Centre, Riyadh, Saudi Arabia.
authors.forename: Hussein S
authors.initials: HS
authors.lastname: Al-Amri
authors.forename: Abdulrahman M
authors.initials: AM
authors.lastname: Al-Moghairi
authors.forename: Rieda M
authors.initials: RM
authors.lastname: El Oakley
keywords: Cardiomyopathy; Functional mitral regurgitation; Heart failure