RT Book, Section A1 Atluri, Pavan A1 Gorman, Robert C. A1 Gorman III, Joseph H. A1 Acker, Michael A. A2 Cohn, Lawrence H. SR Print(0) ID 55919247 T1 Chapter 29. Ischemic Mitral Regurgitation T2 Cardiac Surgery in the Adult, 4e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-163310-9 LK accesssurgery.mhmedical.com/content.aspx?aid=55919247 RD 2024/04/24 AB Ischemic mitral regurgitation (IMR), often termed functional mitral regurgitation, is mitral insufficiency as a result of myocardial ischemia or infarction. By definition, the mitral valve leaflets are structurally normal in IMR. The malcoaptation of the leaflets and resultant regurgitation of the mitral valve in IMR is a result of either acute papillary muscle dysfunction or rupture, or chronic changes with left ventricular remodeling and subsequent changes in geometry.