الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Mitral valve repair can be performed safely, concomitantly with
CABG in patients who have moderate IMR (grade II & III), without
adding any additional burden to the operative risk nor does it affects the
immediate and early outcomes of these patiens.
Although, it is associated with varying degrees of recurrence after
initial improvement, yet the combined procedure resulted in a greater
decrease in severity of MR, moreover, in patients without functional
recovery (EF), mitral valve repair showed some LV reverse remodeling
and significant improvement of NYHA functional class and hence the
quality of life
IMR is more prevalent with CAD affecting posterior and /or
inferior walls and despite complete revascularization is a general
recommendation, every attempt should be made to graft RCA and / or
PDA branch, and therefore, if these vessels are poor targets or if their
territory is scared, mitral valve repair should be considered.
As improvement of IMR is closely related to improvement of LV
function, it is important to perform viability study especially for patients
in whom mitral valve was decided to be left alone to support or to alter
the surgical decision.