Ischemic Mitral Regurgitation

Author: Kirsten Freeman, MD
Institution: University of Florida
Date Reviewed: July 2022
Learning Domain: Adult Cardiac Surgery
Learning Objective: Mitral Valve Disease, Coronary Artery Disease
PowerPoint File: Ischemic Mitral Regurgitation

Discussion Points for Conference

• Viable  73 y/o male with severe 3 vessel CAD
• Severe mitral regurgitation / symptomatic
• Pre-operatigve surgical risk?
• Therapeutic goals?
• Therapeutic options?
• Valvular guidelines 2020

Learning Points

• Ischemic MR is multi-faceted dx
• Multiple therapeutic options must be entertained
• Role of Mitra-clip is changing, continued updates in the device and learning curve with implantation
• Long term prognosis probably related to CAD