Current management of mitral valve incompetence associated with coronary artery disease.

Journal Article (Review;Journal Article)

At a time when hospital mortality for adult cardiac operations is continuing to fall, the combined mitral valve coronary bypass subset remains at relatively high risk. Efforts to improve results should be directed toward a more general application of mitral reconstruction in this population, tailoring the type of repair to the pathological anatomy of valve dysfunction. Other promising therapeutic measures include the liberal use of reperfusion therapy in the acute papillary muscle dysfunction group, better selection patients for operation, and perhaps operative recommendation to a greater proportion of the more stable patients that previously were treated medically. Finally increasing the general awareness of this problem should hasten the development of improved management strategies.

Full Text

Duke Authors

Cited Authors

  • Rankin, JS; Hickey, MS; Smith, LR; Debruijn, NP; Clements, FM; Muhlbaier, LH; Lowe, JE; Wechsler, AS; Califf, RM; Reves, JG

Published Date

  • March 1989

Published In

Volume / Issue

  • 4 / 1

Start / End Page

  • 25 - 42

PubMed ID

  • 2519980

Electronic International Standard Serial Number (EISSN)

  • 1540-8191

International Standard Serial Number (ISSN)

  • 0886-0440

Digital Object Identifier (DOI)

  • 10.1111/j.1540-8191.1989.tb00254.x


  • eng