Mitral insufficiency in patients with postinfarction left ventricular aneurysm
Patients with postinfarction left ventricular aneurysm (PLVA) and mitral regurgitation rank among the most serious patient groups whose surgical treatment is associated with high risk. Development of cardiosurgery and significant improvement of surgical out comes so far have not yet resulted in unambiguous indications and a one-for-all approach to the surgery of PLVA combined with mitral regurgitation. A broad spectrum of surgical modalities is allowed. Based on its own performance practice and capacity, each clinic opts for its own extent of aggressive approach to patient treatment. Development of new and more improved surgical treatment strate gies will enable one to come much closer to the finding of optimal ways to correct PLVA with ischemic mitral insufficiency.