¿Ischemic or idiopathic mitral valve disease (so called secondary mitral valve regurgitation) is a rather new concept. This topic is deeply polarizing the attention of the cardiologist and cardiothoracic community. Although there is an impressive amount of efforts to understand the etiology, mechanism, treatment and prognostic factors, still clear indications and guide-lines are missing. Therefore this group of patients lie in a grey-area and physicians looking after them cannot count on proper recommendations. The main purpose of this book is to review the most relevant knowledge about secondary mitral valve regurgitation, from the anatomy, definition, classification, diagnosis and prevalence to the up-to-date surgical and medical management.

Reviews the definition and classification of secondary mitral valve regurgitation

Prevalenceand definition of secondary mitral valve regurgitation.- Anatomical changesassociated with secondary mitral regurgitation: Difference between ischemic andidiopathic cardiomyopathy.- Clinical prognostic value of secondary mitral valveregurgitation.- Functional classification of the secondary mitral valveregurgitation.- Preoperative echocardiographic evaluation of secondary mitralvalve regurgitation.- Three-dimensional echocardiographic imaging of secondarymitral valve regurgitation.- Dynamic stress evaluation of secondary mitralvalve regurgitation.- Evaluation of secondary mitral valve regurgitation bycardiac magnetic resonance.- Timing and patients selection for surgical repairof secondary mitral valve regurgitation.- Intraoperative echocardiographicimaging during mitral valve repair.- Surgical approaches of secondary mitralregurgitation: Mitral valve restrictive annuloplasty: the ideal strategy.- Therole of the ¿edge-to-edge¿ mitral valve repair.- Prosthetic ring choice: impacton clinical outcomes and repair results.- Papillary muscles relocation.- Basalchordal cutting.- The Coapsys Device.- The CorCap device.- Role of cardiacresynchronization therapy.- Percutaneous treatment in secondary mitral valveregurgitation.- 2D and 3D echocardiographic imaging during percutaneous mitralclip procedure.- Impact of tricuspid valve regurgitation in patients withsecondary mitral valve regurgitation.- Tricuspid valve repair: when and how.Predictors of recurrent mitral regurgitation after mitral valve repairsurgery.- Follow-up after mitral valve repair.