Atypical case of ischemic mitral regurgitation: pathogenetically based treatment
https://doi.org/10.24884/1682-6655-2022-21-2-72-79
Abstract
Introduction. The evolution of the study of mitral valve ischemic dysfunction influenced by fundamental and experimental research in recent years has led to a change of mitral leaflets role as a static component of the mitral valve in the pathogenesis of ischemic mitral regurgitation especially in the chronic myocardial ischemia.
Objective. We report the clinical case of acute ischemic mitral regurgitation as a result of a chord rupture of the PML in a patient with unspecified duration of coronary artery disease without acute coronary syndrome and previous myocardial infarction including all stages of the diagnostic search and the results of surgical treatment.
Conclusion. While performing reconstructive correction of the ischemic mitral regurgitation the possibility of reverse remodeling of the leaflets should be considered in case of removal the myocardial ischemia triggering factor. And therefore it is necessary to perform a full and adequate myocardial revascularization that combined with a full correction of all morphofunctional mitral valve changes guarantees the freedom from residual and recurrent mitral regurgitation.
About the Author
V. V. Krylov
M. F. Vladimirsky Moscow Regional Research and Clinical Institute «MONIKI»
Russian Federation
Russian Federation
Krylov Vladislav V. – cardiovascular surgeon of the adult’s cardiovascular surgery department and emergency and routine counseling department
61/2, Shepkina str., Moscow, Russia, 129110
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Review
For citations:
Krylov V.V. Atypical case of ischemic mitral regurgitation: pathogenetically based treatment. Regional blood circulation and microcirculation. 2022;21(2):72-79. (In Russ.) https://doi.org/10.24884/1682-6655-2022-21-2-72-79
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