The Journal of Thoracic and Cardiovascular Surgery

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The Journal of Thoracic and Cardiovascular Surgery A pathoanatomic approach to secondary functional mitral regurgitation: Evaluating the evidence Vinay Badhwar, MD, Mohamad Alkhouli, MD, Michael J. Mack, MD, Vinod H. Thourani, MD, Gorav Ailawadi, MD The Journal of Thoracic and Cardiovascular Surgery DOI: 10.1016/j.jtcvs.2018.12.102 Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Pathoanatomic grades of severe secondary mitral regurgitation. Grade I = Mild-moderate annular dilation, ejection fraction >45%, minimal leaflet tethering (<5 mm). Grade II = Moderate-severe annular dilation, ejection fraction 35% to 45%, moderate leaflet tethering (5-10 mm). Grade III = Severe annular dilation, ejection fraction 25% to 35%, severe leaflet tethering (>10 mm). Grade IV = Severe annular dilation, ejection fraction <25% or inferobasilar dysfunction, severe leaflet tethering (>10 mm). The Journal of Thoracic and Cardiovascular Surgery DOI: (10.1016/j.jtcvs.2018.12.102) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

Pathoanatomic grades of severe secondary mitral regurgitation. The Journal of Thoracic and Cardiovascular Surgery DOI: (10.1016/j.jtcvs.2018.12.102) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions