Open AccessA Surgical Technique to Preserve the Subvalvular Apparatus in Patients Undergoing Mitral Valve Replacement for Severe Ischemic Regurgitation
Author(s) -
Jacob Zeitani,
Ermal Likaj,
Saimir Kuçi,
A. Pellegrino
Publication year - 2022
Publication title -
brazilian journal of cardiovascular surgery
Language(s) - English
Resource type - Journals
eISSN - 1678-9741
pISSN - 0102-7638
DOI - 10.21470/1678-9741-2021-0320
Subject(s) - medicine , cardiology , mitral valve replacement , mitral regurgitation , mitral valve , functional mitral regurgitation , mitral valve regurgitation , regurgitation (circulation) , surgery , heart failure , ejection fraction
Severe functional mitral valve regurgitation should be treated in patients undergoing myocardial revascularization. When replacement is considered the best therapeutic option, preservation of the mitral subvalvular apparatus is crucial, especially in the emergency setting, because of its primary role in preserving geometry and function of left and right ventricles. Here we present a simple and quick technique, where subvalvular apparatus is preserved in toto in patients undergoing mitral valve replacement with a bioprosthesis.