End-stage cardiomyopathy and secondary mitral insufficiency surgical alternative with prosthesis implant and left ventricular restoration | Zendy

Ênio Buffolo | Zendy; João Nelson Rodrigues Branco | Zendy; Roberto Catani | Zendy

Open Access

End-stage cardiomyopathy and secondary mitral insufficiency surgical alternative with prosthesis implant and left ventricular restoration

Author(s) -

Ênio Buffolo,

João Nelson Rodrigues Branco,

Roberto Catani

Publication year - 2006

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2006.03.004

Subject(s) - medicine , cardiology , cardiogenic shock , cardiomyopathy , mitral regurgitation , ventricle , ejection fraction , ischemic cardiomyopathy , transplantation , heart failure , surgery , myocardial infarction

Secondary mitral insufficiency is a strong risk factor for death in end-stage cardiomyopathy. The possible correction of mitral regurgitation has now been accepted as an alternative to cardiac transplantation in a special subset of patients. We propose a new surgical approach that consists of implantation of a mitral prosthesis that is smaller than the annulus, and preservation and traction of the papillary muscles to reduce sphericity of the left ventricle.

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