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Background and Objective: This study aimed to identify risk factors for mitralinsufϐiciency (MI) recurrence after isolated coronary artery bypass grafting(CABG) and for CABG with mitral valve (MV) repair of moderate MI in patientswith ischemic cardiomyopathy. Methodology: This is a single-centre prospectivestudy. We included 76 patients with moderate MI and poor left ventricular function(EF &lt;35%). The patients underwent isolated CABG or CABG with MV repair. Theage of the patients was 57±8 years, and 90% were men. MV repair was restrictingannuloplasty using a rigid ring with a size of 26–30.Results: The total complications in the long-term period were 19 (52.7%) and8 (23.5%) in the isolated CABG and CABG + MV repair groups, respectively(p=0.015). After isolated CABG in patients suffering ischemic cardiomyopathy (IC)and moderate MI, progression of MI (grade 3) initially 0%, after 12 months, 31%,after 36 months, 71%, p &lt;0.001 is observed.Conclusions: Isolated CABG or CABG with MV repair in patients with IC does not resultin a signiϐicant decrease in MI in the long-term, when compared with the baseline. Therevealing of the predictors of the progression of MI made it possible to determine thethreshold values of the performance indicators of MV repair and assisted with thedetermination of the surgical treatment strategies for patients with moderate MI.Key words: Ischemic cardiomyopathy, mitral insufϐiciency, coronary artery bypassgrafting

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THE RISK FACTORS OF MITRAL INSUFFICIENCY RECURRENCE AFTER CORONARY ARTERY BYPASS GRAFTING WITH OR WITHOUT MITRAL VALVE REPAIR IN PATIENTS WITH ISCHEMIC CARDIOMYOPATHY