December 6, 2025Russian Journal of Cardiology and Cardiovascular Surgery0 citations

Functional mitral regurgitation and reverse left ventricular remodeling following surgical correction of chronic aortic regurgitation

Key Points

Mitral regurgitation regressed postoperatively across all groups, indicating effective surgical outcomes.
Five-year freedom from mitral regurgitation grade >1—2 reached 95.8% in patients without mitral valve repair.
Assessment utilized echocardiography to evaluate reverse left ventricular remodeling and functional mitral regurgitation.
These findings highlight the potential impact of surgical correction on managing left ventricular dynamics in aortic insufficiency.

Abstract

Objective. To evaluate reverse myocardial remodeling in patients with severe left ventricular dilatation associated with chronic aortic insufficiency (AI) depending on functional mitral regurgitation (MR) and surgical approach. Material and methods. The study included 80 patients with left ventricular end-diastolic volume (LVEDV) ≥250 ml due to chronic AI with functional MR. Patients were divided into 3 groups: group 1 MR grade1—2 was 95.8% in the MR grade2 throughout 5 postoperative years.

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