The modern state of surgical treatment of ischemic mitral regurgitation
Ischemic mitral insufficiency refers to a complicated form of the defect characterized by the specificity of the elements of the lesion. According to the literature, with ischemic mitral insufficiency, depending on the degree of regurgitation, the annual mortality ranges from 10 to 40%, whereas in the absence of mitral insufficiency is about 6%. The implementation of the principle of preserving the geometry of the left ventricle, the use of new methods for the reconstruction and prosthetics of the mitral valve can effectively eliminate mitral regurgitation, significantly improving the immediate and long-term results of the correction. Many studies devoted to the treatment of mitral insufficiency, in most cases are focused on the solution of particular problems of the elimination of one or another lesion of the valve apparatus. At the same time, there is no integral system of views on this pathology, there is no unifying concept, which ultimately determines the immediate and remote success of the operation. All this determines the need to deepen scientific knowledge and to increase practical skills in this direction.