Posterior mitral valve restoration for ischemic regurgitation.
Chronic ischemic mitral regurgitation is traditionally a complex lesion to repair. Only restrictive annuloplasty has become an accepted strategy to avoid valve replacement, but results are unsatisfactory in some subgroups of patients. We describe an original technique that addresses the pathophysiologic mechanisms responsible for one of the most common subtypes of ischemic mitral regurgitation, ie, asymmetric tethering of the mitral leaflets after inferior myocardial infarction. The technique includes partial detachment of the posterior leaflet from the mitral annulus, annular plication, and posterior cusp plasty.
Fundarò
Pino
P
Divisione e Cattedra di Cardiochirurgia, IRCCS Ospedale Maggiore e Università degli Studi di Milano, Milan, Italy. pinofundaro@yahoo.it
Pocar
Marco
M
Moneta
Andrea
A
Donatelli
Francesco
F
Grossi
Adalberto
A
D002815:Chordae Tendineae / Q000503:physiopathology / Q000601:surgery; D004452:Echocardiography; D006801:Humans; D008943:Mitral Valve / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000503:physiopathology / Q000601:surgery*; D009203:Myocardial Infarction / Q000503:physiopathology / Q000601:surgery*; D017202:Myocardial Ischemia / Q000503:physiopathology / Q000601:surgery*; D013536:Suture Techniques; D020257:Ventricular Remodeling / Q000502:physiology*