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Treatment of Functional Ischemic Mitral Regurgitation by Mitral Valve Repair and Coronary Artery Bypass Grafting

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Functional Mitral and Tricuspid Regurgitation

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Abstract

Functional ischemic mitral regurgitation is most commonly repaired by mitral annuloplasty. Important surgical principles must be followed when repairing ischaemic mitral valves by annuloplasty to ensure a durable long term repair. When these principles are followed, a durable, long term repair is achievable. Recent randomized controlled trials have given insights into the groups of patients who would benefit most from concomitant mitral annuloplasty and coronary artery bypass graft surgery. Risk factors for recurrent mitral regurgitation following mitral annuloplasty have been identified; these patients may require additional adjunctive repair procedures or a mitral valve replacement.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Gleneagles Hospital, Jalan Ampang, Kuala Lumpur, 50450, Malaysia

    K. M. John Chan BM BS, MSc, PhD, FRCS CTh

  2. Department of Cardiothoracic Surgery, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK

    John R. Pepper MChir, FRCS

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  1. K. M. John Chan BM BS, MSc, PhD, FRCS CTh
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  2. John R. Pepper MChir, FRCS
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Correspondence to K. M. John Chan BM BS, MSc, PhD, FRCS CTh .

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Editors and Affiliations

  1. Department of Cardiothoracic Surgery, Gleneagles Hospital, Kuala Lumpur, Malaysia

    Kok Meng John Chan

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Chan, K.M.J., Pepper, J.R. (2017). Treatment of Functional Ischemic Mitral Regurgitation by Mitral Valve Repair and Coronary Artery Bypass Grafting. In: Chan, K. (eds) Functional Mitral and Tricuspid Regurgitation. Springer, Cham. https://doi.org/10.1007/978-3-319-43510-7_7

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  • DOI: https://doi.org/10.1007/978-3-319-43510-7_7

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