Cor Vasa 2005, 46(11):431-436

Mitral regurgitation in patients indicated for coronary artery bypass grafting

Richard Fojt^1,*, Petr Widimský¹, Rudolf Špaček¹, Zbyněk Straka²

¹ III. interní-kardiologická klinika

² Kardiochirurgická klinika, Kardiocentrum, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy, Praha, Česká republika

Many patients indicated for coronary artery bypass grafting have concomitant mitral regurgitation (MR), which deserves our attention because of its worse prognosis. In our review article, we discuss the approach to these patients dependending on etiology and MR grade. Solely organic and ischemic MR are discussed. Factors essential for searching for optimal surgical procedure are also mentioned. Special attention is given to stress echocardiography, preoperative symptoms of cardiac fail-ure, left ventricular dysfunction and surgical procedure. Evaluation of all these factors with respect to the patient s condition should help us to choose the optimal therapeutical approach in patients with coronary artery disease and MR.

Keywords: Mitral regurgitation; Coronary artery disease; Coronary artery bypass grafting; Mitral valve repair; Mitral valve replacement

Published: November 1, 2005  Show citation