Mitral valve dysfunction following papillary muscle cryoablation.
Cryoablation is recognized as a useful modality for diagnostic mapping, as well as for permanent obliteration of arrhythmogenic foci. This technique has been used to eradicate irritable foci at the base of papillary muscles. We report a case of mitral valve dysfunction requiring valve replacement following cryoablation of the posterior papillary muscle. Based on this experience, we caution against extensive cryoablation of papillary muscle tissue because of the possibility of disrupting mitral valve function.
Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612-3864.
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Piccione
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Goldin
D009202:Cardiomyopathies / Q000601:surgery*; D003452:Cryosurgery / Q000009:adverse effects*; D006333:Heart Failure / Q000209:etiology* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000209:etiology* / Q000601:surgery; D010210:Papillary Muscles / Q000601:surgery*; D012086:Reoperation; D013610:Tachycardia / Q000503:physiopathology / Q000601:surgery*