New surgical procedure for ischemic/functional mitral regurgitation: mitral complex remodeling.

Arai, Hirokuni; Itoh, Fusahiko; Someya, Takeshi; Oi, Keiji; Tamura, Kiyoshi; Tanaka, Hiroyuki · Ann Thorac Surg · 2008

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Abstract

Although numerous surgical techniques have been developed for ischemic/functional mitral regurgitation, none has clearly improved patient outcome. We report the clinical application of a new mitral complex remodeling procedure for ischemic/functional mitral regurgitation that allows comprehensive remodeling of the entire mitral complex. The mitral complex remodeling procedure consists of three major concepts: division and reconstruction of secondary chords, undersized annuloplasty, and bilateral papillary muscle relocation.

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