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J Thorac Cardiovasc Surg 2004;127:618-619
© 2004 The American Association for Thoracic Surgery

Editorial

When should we attempt to make a silk purse from a sow's ear?

Eugene A. Grossi, MDa,*

a Department of Surgery, New York University Medical Center, New York, NY USA

Received for publication November 17, 2003; accepted for publication November 19, 2003.

* Address for reprints: Eugene A. Grossi, MD, Department of Surgery, New York University Medical Center, Suite 9V, Skirball Building, 530 First Ave, New York, NY 10028, USA
grossi@cv.med.nyu.edu

The first 20% of the full text of this article appears below.


See related article on page 636.

 

Treatment of functional ischemic mitral regurgitation (MR) at the time of coronary revascularization remains a challenge. In spite of many recent contributions in this area, debate still rages over the optimal treatment of ischemic mitral insufficiency in the setting of infarcted myocardium. As the level of attention to this pathophysiologic process has increased significantly in the past few years, the quality of available data has risen substantially. In this issue of the Journal, Mallidi and colleagues1 offer interesting data that advance the discussion on this topic. The fundamental and as yet unanswered problem that surgeons are faced with is the following: When should we intervene on functional MR at the time of coronary artery bypass grafting (CABG), or, in other words, when should we attempt to make a silk purse out of a sow's ear?

Some important issues need to be reviewed before the question at hand can be profitably examined. Craig Miller, who has added considerably to this field, crystallized the nomenclature for ischemic MR, which . . . [Full Text of this Article]


Related Article

Late outcomes in patients with uncorrected mild to moderate mitral regurgitation at the time of isolated coronary artery bypass grafting
Hari R. Mallidi, Marc P. Pelletier, Jennifer Lamb, Nimesh Desai, Jeri Sever, George T. Christakis, Gideon Cohen, Bernard S. Goldman, and Stephen E. Fremes
J. Thorac. Cardiovasc. Surg. 2004 127: 636-644. [Abstract] [Full Text] [PDF]





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