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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

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Ischemic mitral regurgitation: recent advances.

Anelechi C Anyanwu¹, David H Adams

¹Department of Cardiothoracic Surgery, Mount Sinai Hospital, 1190 Fifth Avenue, New York, NY 10029, USA.

Current Treatment Options in Cardiovascular Medicine

|November 26, 2008

Summary

This summary is machine-generated.

This review covers ischemic mitral regurgitation, detailing its pathophysiology and management. Current surgical repair with annuloplasty shows good midterm outcomes, though new adjunctive methods are under investigation.

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High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart

High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart

Published on: July 9, 2010

Area of Science:

Cardiology
Cardiac Surgery
Medical Imaging

Background:

Ischemic mitral regurgitation (IMR) is a significant complication of myocardial infarction.
Understanding the complex pathophysiology of IMR is crucial for effective management.
Advances in imaging have improved our comprehension of IMR mechanisms.

Purpose of the Study:

To review recent advancements in the pathophysiology of IMR.
To discuss current and emerging management strategies for IMR.
To evaluate the outcomes and risks associated with surgical repair of IMR.

Main Methods:

Review of recent literature on ischemic mitral regurgitation.
Analysis of findings from three-dimensional echocardiography studies.
Examination of outcomes data from surgical repair studies, including annuloplasty.

Main Results:

Three-dimensional echocardiography has enhanced understanding of IMR mechanisms.
Restrictive annuloplasty shows good midterm outcomes but has limitations.
Adjunctive surgical techniques targeting the left ventricle or papillary muscles are being explored.

Conclusions:

Current management of IMR involves surgical repair with annuloplasty, offering favorable midterm results.
Limitations of restrictive annuloplasty necessitate investigation into alternative and adjunctive surgical approaches.
Ongoing research aims to improve long-term outcomes for patients with ischemic mitral regurgitation.