Surgical treatment of ischemic mitral regurgitation in high risk patients

Abstract

The main goal of our research was to assess results of the suture annuloplasty for treatment of ischemic mitral regurgitation (IMR). We have analized the medical records of 37 patients with ischemic heart disease complicated by mitral regurgitation with impaired systolic function of left ventricle (ejection fraction 40 % or less). We have made combined open heart surgery in all patients: coronary bypass graphting with suture mitral valve annuloplasty. We have analyzed all cases of returning of mitral regurgitation and have found some causes. We have seen real improving in clinical status of patients in follow-up. The suture mitral annuloplasty is effective method of surgical correction of ischemic mitral regurgitation. It improves reverse LV remodeling. Clinically relevant mitral stenosis was not detected. It tends to better clinical prognosis of chronic heart failure.