Ischaemic Mitral

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Ischaemic Mitral Regurgitation

• Ruchan AKAR
• AUTF, Ankara, TURKEY

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Carpentier classification
Type I normal leaflet motion, central
insufficiency posterior annular dilatation Type
II leaflet prolapse Type III restricted leaflet
motion during diastole (IIIa), during systole
(IIIb)

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Carpentier Type I
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Acute papillary muscle rupture Carpentier Type
II
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Carpentier Type IIIb

• ischemic distortion of LV geometry (central role)
• decreased LV-generated force acting to close the
  leaflets, particularly when they are under
  increased tension.

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Ligation of two Cx OMs 21 LV mass posterior
papillary muscle mod-severe MR
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Ligation of two Cx OMs and PDA 32 LV mass
infarct immediate MR