Commentary: Old problem, new solution: Epicardial annuloplasty with left ventricular support for functional mitral regurgitation

[摘要] Functional mitral regurgitation (FMR) remains a challenging problem for surgeons. The optimal surgical treatment is still a matter of significant debate. Over the last decade, surgeons have come to appreciate the pathophysiology of this disease process as a complex interplay between the mitral valve, including its subannular structures, and the left ventricle. In addition, recent surgical and transcatheter trials and subsequent post hoc analyses have suggested that there are in fact multiple phenotypes of FMR (ie, proportionate vs disproportionate) that respond differently to intervention directed at various components of the mitral–ventricular complex.

[学科分类] 心脏病和心血管学