Surgery for mitral apparatus disorders caused by ischemic heart disease (Figs. 27–29)
Ischemic mitral valve disease ranks third among the most common causes of mitral insufficiency in surgical patients. Mitral insufficiency in association with coronary artery disease is well described and carries a worse prognosis with a higher operative risk compared with either rheumatic or degenerative etiologies. The incidence of concomitant mitral regurgitation in patients with coronary artery disease is reported to range between 6 and 19 % worldwide! The reason usually is previous ischemic damage to the left ventricle.
KeywordsMitral Valve Papillary Muscle Mitral Valve Repair Mitral Leaflet Severe Mitral Regurgitation
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