Treatment of Mitral Regurgitation in Ischemic Heart Disease Patients Undergoing Coronary Artery Bypass Grafting

When moderate secondary mitral regurgitation is present in a patient with ischemic heart disease who is being taken to coronary artery bypass grafting, the management of the mitral valve itself becomes a key intraoperative decision.

Clinical Scenario

Moderate secondary (ischemic) mitral regurgitation in patients undergoing coronary artery bypass grafting (CABG). The coexistence of ischemic heart disease requiring bypass surgery and concurrent moderate MR defines this specific population.

Approach

A surgical intervention addressing the mitral valve may be considered at the time of the bypass procedure. The full structured protocol — covering the criteria for intervention, procedural considerations, and patient selection — is available via the link below.

Complete decision algorithm available below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/eurheartj/ehaf194

MV surgery may be considered in patients with moderate SMR undergoing CABG.

View source ↗