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The patient's case was presented at the Board of Cardiologists and Cardiac Suigeons and surgical myocardial revascularization and repeated echocardiography examination of mitral insufficiency, four weeks after myocardial infarction, were indicated, but prior to the surgery.
LAV increase in our local population with relatively preserved systolic functions and with no significant mitral insufficiency is partly related to age, left ventricular hypertrophy, increased filling pressure and decreased LV systolic function.
It is important to exclude congenital mitral valve anomalies, mitral valve prolapsus, mixomatous mitral valve, Kawasaki disease, miyocarditis and dilated cardiomyopathy in the differential diagnosis of mitral insufficiency and to exclude aortic valve problems related with other causes including bicuspid aorta, aortic valve prolapsus and subaortic membrane in the differential diagnosis of aortic insufficiency.
However, the surgical treatment of ischemic mitral insufficiency continues to evolve and new methods addressing ventricular structures are being introduced: left ventricular restoration, papillary muscle relocation, sling, imbrication or reapproximation, chordal cutting or translocation.
The physicians who took part in the Maplewood clinic study recommended EP in most MVP patients regardless of whether mitral insufficiency was present.
Management of the congenital aneurysm of the left ventricle Associated with Mitral Insufficiency in a child.
Mitral insufficiency increases in patients with ASD due to age related deterioration in geometry of left ventricle, shortening in chord, fibrosis and myxamatous degeneration.