Adding mitral valve annuloplasty to surgical revascularization does not benefit patients with functional ischemic mitral regurgitation.

摘要

Truth reflected in 2 common-but-conflicting aphorisms must coexist in dynamic tension to produce favorable outcomes in cardiac surgical patients: "fix everything while you are there" must be balanced with "perfect is the enemy of good" to do all but not more than is needed for the welfare of the patient. Fixing a leaking heart valve while one is already performing coronary artery bypass grafting (CABG) does not seem like excessive striving for perfection.