Introduction: Approximately 20 to 30 percent of patients experience IMR after MI, with mild to extreme IMR occurring in more than 10 percent of patients. Guidelines for appropriate surgical modality, whether for reconstruction or replacement, are still under review. Patients and methods : The selected patients with ischaemic mitral regurgitation underwent CABG and mitral valve replacement or repair at the cardiothoracic surgery department ,zagazgig university during the period from July 2016 to June 2018 with post operative follow up of 2 years.
Results: we found no significant difference between patients of group 1(Mitral v replacement) were 22 patients and group 2 (Mitral v repair) were 24 patients regarding preop , operative characteristic with significant difference between the 2 groups regarding recurrence of (mitral regurgitation) MR in which 25% of the patients develop significant MR at the end of 2 years the follow up period
Conclusion: The best surgical solution is mitral replacement