title: Papillary muscle approximation for ischemic mitral valve regurgitation.
abstract: In patients with ischemic left ventricular dysfunction and functional mitral regurgitation, the surgical treatment of the mitral insufficiency remains a challenging issue. Several procedures were described to restore a more normal alignment between the mitral annulus and the laterally displaced papillary muscles. We report a new approach to relocate the displaced papillary toward the mitral annulus and to reduce tethering. This procedure is believed to be technically easy and beneficial in terms of mitral repair.
authors.affiliation: Department of Cardio-Thoracic Surgery, Pitie-Salpétrière Hospital, Paris, France.
authors.forename: Akhtar
authors.initials: A
authors.lastname: Rama
authors.forename: Francesco
authors.initials: F
authors.lastname: Nappi
authors.forename: Beltrand G Levy
authors.initials: BG
authors.lastname: Praschker
authors.forename: Iradj
authors.initials: I
authors.lastname: Gandjbakhch
mesh_terms: D006348:Cardiac Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000473:pathology / Q000601:surgery*; D017202:Myocardial Ischemia / Q000209:etiology / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000473:pathology / Q000601:surgery*