PMID- 19594070
OWN - NLM
STAT- MEDLINE
DCOM- 20090825
LR  - 20190917
IS  - 0370-8179 (Print)
IS  - 0370-8179 (Linking)
VI  - 137
IP  - 5-6
DP  - 2009 May-Jun
TI  - [Moderate ischemic mitral regurgitation: to operate or to ignore?].
PG  - 275-7
AB  - INTRODUCTION: Moderate ischemic mitral regurgitation (MR) is characterized by 
      significant, symptomatic multivessel coronary disease and mitral regurgitation 
      2-3+. CASE OUTLINE: A 60-year-old patient was admitted at the Cardiovascular 
      Institute "Dedinje" due to the symptoms of unstable angina pectoris. He survived 
      a myocardial infarction (inferoposterolateral localization) 8 years ago. On 
      admission echocardiogram revealed regional disturbances of the left ventricle 
      wall with ejection fraction of 25% and mitral regurgitation 2+. The patient 
      underwent a triple coronary bypass with surgical correction of mitral 
      regurgitation. Postoperative course was normal. CONCLUSION: Several authors are 
      against surgical correction of MR in moderate ischemic MR due to several reasons: 
      revascularization of ischemic areas will improve regional wall motion and correct 
      MR, while mitral valve surgery adds significantly to the operative risk of 
      coronary surgery. Other authors, however, favour combined operation emphasizing 
      that in many patients coronary surgery alone will not correct a moderate ischemic 
      MR. Today there is no consensus whether to operate the moderate ischemic MR or to 
      ignore it. Some novel studies underscore significant predictors of a long-term 
      survival of these patients: NYHA (New York Heart Association) class and left 
      ventricle ejection fraction. In that respect a combined operation should be 
      recommended in patients with heart failure and NYHA class III and IV.
FAU - Tasic, Nebojsa
AU  - Tasic N
FAU - Otasevic, Petar
AU  - Otasevic P
FAU - Boskovic, Srdjan
AU  - Boskovic S
FAU - Popov, Petar
AU  - Popov P
LA  - srp
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PL  - Serbia
TA  - Srp Arh Celok Lek
JT  - Srpski arhiv za celokupno lekarstvo
JID - 0027440
SB  - IM
MH  - Coronary Artery Bypass
MH  - Coronary Disease/*complications
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications/*surgery
EDAT- 2009/07/15 09:00
MHDA- 2009/08/26 09:00
CRDT- 2009/07/15 09:00
PHST- 2009/07/15 09:00 [entrez]
PHST- 2009/07/15 09:00 [pubmed]
PHST- 2009/08/26 09:00 [medline]
AID - 10.2298/sarh0906275t [doi]
PST - ppublish
SO  - Srp Arh Celok Lek. 2009 May-Jun;137(5-6):275-7. doi: 10.2298/sarh0906275t.