Ischemic Mitral Incompetence

Functional anatomy of the myocardium and its interaction with the mitral valve apparatus.- Anatomy of the coronary arteries with respect to chronic ischemic mitral regurgitation.- Transmitral flow dynamics in the normal heart and during mitral regurgitation.- Influence of papillary muscle function on the mitral valve and left ventricular mechanics.- Predictors for mitral regurgitation in coronary artery disease.- The influence of revascularization on ischemic mitral insufficiency.- Intraoperative Doppler color flow mapping for assessment of ischemic mitral regurgitation.- Diagnostic value of transesophageal echocardiography in patients with coronary artery disease and mitral insufficiency.- Coronary angioplasty for acute mitral regurgitation due to myocardial infarction.- Mechanisms of ischemic mitral insufficiency and their surgical correction.- Technical aspects and clinical experience of mitral reconstruction in ischemic mitral incompetence.- Decision-making aspects in the surgical treatment of ischemic mitral incompetence.- Results of surgical therapy in ischemic mitral regurgitation.- Current concepts in the pathogenesis and treatment of ischemic mitral regurgitation.- Surgical treatment of ischemic mitral regurgitation by repair and replacement.- Surgical results with severe ischemic mitral regurgitation.- Surgery for acute ischemic mitral incompetence.- Closing remarks.