Camping on the Mitral Valve

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TEEintraoppreopME4CV2D
Short case presentation
64 y.o. male with a history of CAD, Atrial Fibrillation, AS, increasing SOB/DOE, sleep apnea, NIDDM.
Cardiac Cath showed a LAD 80%.
He takes Insulin, Zestril, Lopressor, Zocor, and ASA.
The patient is scheduled for an AVR, CABG, MAZE, and Ascending Aorta Repair

Please review the TEE and consider the following questions:

How does sleep apnea affect the left ventricle?
When assessing functional/ischemic MR what measurements (TnH, TnA, TnV) are accurate?
Should the mitral valve be repaired?