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Titlebook: Ischemic Mitral Incompetence; H. O. Vetter,R. Hetzer,H. Schmutzler Conference proceedings 1991 Springer-Verlag Berlin Heidelberg 1991 coro

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Anatomy of the coronary arteries with resepct to chronic ischemic mitral regurgitationdered for coronary bypass surgery show some degree of mitral valve incompetence [5]. Mitral regurgitation, moreover, has a tendency to increase steadily because of dilation of the mitral valve annulus. The left ventricular cavity dilates to accomodate the increase in diastolic volume and remodels it
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Intraoperative Doppler color flow mapping for assessment of ischemic mitral regurgitation cases, regurgitation results solely from ischemia-related abnormalities, including annular dilatation, papillary muscle or myocardial scarring, or rupture of chordae or papillary muscle. In other cases, mitral regurgitation is the result of preexisiting mitral pathology such as myxomatous degenerat
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Results of surgical therapy in ischemic mitral regurgitationitation were treated with a valve procedure. Mitral valve replacement was performed when both anterior and posterior papillary muscle fibrosis (two patients) or papillary muscle rupture (two patients, both posterior) was present.
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