• Amber Malhotra, Pranav Sharma, Pankaj Garg, Arvind Bishnoi, Jignesh Kothari, and Jigisha Pujara.
• Department of Cardiovascular & Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India.
• Asian Cardiovasc Thorac Ann. 2014 Sep 1;22(7):781-6.

BackgroundIschemic mitral regurgitation associated with coronary artery disease presents a management challenge to cardiac surgeons. We report our early and midterm results of chronic ischemic mitral regurgitation treated with concomitant mitral ring annuloplasty and coronary artery bypass grafting.MethodsWe performed a retrospective review of the medical records of patients who underwent coronary artery bypass grafting at our institute from January 2009 to December 2011. Data were collected in 50 patients with chronic ischemic mitral regurgitation who had mitral ring annuloplasty along with coronary artery bypass grafting. Preoperative data, echocardiographic findings, operative procedure, outcome, and perioperative hemodynamics were analyzed. Early and intermediate follow-up data were also collected and analyzed.ResultsThere were 3 (6%) early and 9 (18%) late deaths. Of the survivors, 38 (76%) had a significant reduction in left ventricular end-diastolic and end-systolic dimensions and improvement in New York Heart Association functional class.ConclusionDespite a risk of residual regurgitation, mitral ring annuloplasty combined with coronary artery bypass appears to be a good treatment option in selected patients with chronic ischemic mitral regurgitation.© The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

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