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Papillary Muscle Approximation for Ischemic Mitral Valve Regurgitation
Author(s) -
Rama Akhtar,
Nappi Francesco,
Praschker Beltrand G. Levy,
Gandjbakhch Iradj
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00641.x
Subject(s) - medicine , mitral annulus , papillary muscle , cardiology , mitral regurgitation , annulus (botany) , mitral valve , functional mitral regurgitation , mitral valve repair , heart failure , ejection fraction , diastole , botany , blood pressure , biology
In patients with ischemic left ventricular dysfunction and functional mitral regurgitation, the surgical treatment of the mitral insufficiency remains a challenging issue. Several procedures were described to restore a more normal alignment between the mitral annulus and the laterally displaced papillary muscles. We report a new approach to relocate the displaced papillary toward the mitral annulus and to reduce tethering. This procedure is believed to be technically easy and beneficial in terms of mitral repair.