title: New surgical procedure for ischemic/functional mitral regurgitation: mitral complex remodeling.
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.
authors.affiliation: Department of Cardiothoracic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan. hiro.tsrg@tmd.ac.jp
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Arai
authors.forename: Fusahiko
authors.initials: F
authors.lastname: Itoh
authors.forename: Takeshi
authors.initials: T
authors.lastname: Someya
authors.forename: Keiji
authors.initials: K
authors.lastname: Oi
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Tamura
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
mesh_terms: D002315:Cardiopulmonary Bypass; D002815:Chordae Tendineae / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D017202:Myocardial Ischemia / Q000150:complications* / Q000601:surgery; D010210:Papillary Muscles / Q000601:surgery*; D013537:Sutures; D020257:Ventricular Remodeling / Q000502:physiology*