Ischemic Mitral Regurgitation – Where Do We Stand? –

Jack H. Boyd

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Ischemic Mitral Regurgitation – Where Do We Stand? –

机译：缺血性二尖瓣关闭不全–我们站在哪里？ –

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Chronic ischemic mitral regurgitation (IMR) is still a significant clinical problem. It is present in 10–20% of patients with coronary artery disease and is associated with a worse prognosis after myocardial infarction and subsequent revascularization. Currently, coronary artery bypass grafting combined with restrictive annuloplasty is the most commonly performed surgical procedure, although novel approaches have been used in limited numbers with varying degrees of success. The purpose of this review is to clarify the rationale for the surgical techniques applicable to IMR. In order to do so, the condition will be defined and the evolution of classic or traditional surgical approaches to repairing or replacing the mitral valve in the setting of IMR will be described. Finally, novel approaches to the repair of the ischemic mitral valve will be considered.??( Circ J ?2013; 77: 1952–1956)

机译：慢性缺血性二尖瓣关闭不全（IMR）仍然是一个重要的临床问题。它存在于10–20％的冠心病患者中，并伴有心肌梗塞和随后的血运重建后预后较差。目前，最常用的外科手术方法是冠状动脉搭桥术与限制性瓣环成形术相结合，尽管有限数量的新方法获得了不同程度的成功。本文的目的是阐明适用于IMR的外科手术技术的基本原理。为此，将定义病情，并描述在IMR情况下修复或更换二尖瓣的经典或传统手术方法的演变。最后，将考虑修复缺血性二尖瓣的新方法。（Circ J？2013; 77：1952-1956）

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《Circulation journal》 |2013年第8期|共5页
作者
Jack H. Boyd;
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中图分类心脏、血管（循环系）疾病;
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1. Mitral valve repair or replacement for ischemic mitral regurgitation? The Italian Study on the Treatment of Ischemic Mitral Regurgitation [J] . Omar Ahmad Araji Tiliani Cirugia Cardiovascular . 2013,第2期

机译：二尖瓣修复或缺血性二尖瓣关闭不全？意大利对缺血性二尖瓣关闭不全的治疗研究
2. Mitral regurgitation surgery in patients with ischemic cardiomyopathy and ischemic mitral regurgitation: factors that influence survival. [J] . Maltais S, Schaff HV, Daly RC, The Journal of Thoracic and Cardiovascular Surgery . 2011,第5期

机译：缺血性心肌病和缺血性二尖瓣关闭不全患者的二尖瓣关闭不全手术：影响生存的因素。
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6. Left ventricle-mitral valve ring size mismatch: understanding the limitations of mitral valve repair for ischemic mitral regurgitation [O] . Christos G. Mihos, Evin Yucel, Orlando Santana 2017

机译：左心室-二尖瓣环尺寸不匹配：了解二尖瓣修复对缺血性二尖瓣反流的局限性
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Ischemic Mitral Regurgitation – Where Do We Stand? –

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