Mitral Regurgitation Coronary Artery Disease

Author: Kirsten Freeman, MD
Institution: University of Florida
Date Reviewed: 2022
Original Case: Edward Verrier, MD / University of  Washington
Learning Domain: Adult Cardiac Surgery
Learning Objective: Mitral Valve Disease / Coronary Artery Disease
PowerPoint File: Mitral Regurgitation Coronary Artery Disease

 

Discussion Points for Conference

  • Combined mitral valve disease / coronary artery disease
  • Timing / Indications  for surgery
  • Degenerative vs Rheumatic vs Ischemic MV disease
  • This patient has 2 different disease processes
    • Degenerative MV disease (Primary MR)
    • Atherosclerotic CAD (LAD lesion)
  • Sequencing of surgery
  • Expected outcomes
  • Follow up planning

 

Learning Points

  • Prognosis of Degenerative MR disease quite different from Ischemic MR
  • MV repair preferred for primary MR 
  • Long term prognosis probably related to CAD