title: Papillary muscle approximation and relocation with a loop technique for mitral complex repair.
abstract: Undersized mitral annuloplasty alone is not always sufficient to repair functional mitral regurgitation resulting from left ventricular enlargement; the repair requires a three-dimensional approach to the mitral complex. We introduce a surgical procedure that combines papillary muscle approximation to correct lateral shift and papillary muscle relocation using the loop technique to correct the apical shift with accuracy and technical ease.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan. isodas@ndmc.ac.jp
authors.forename: Susumu
authors.initials: S
authors.lastname: Isoda
authors.forename: Motohiko
authors.initials: M
authors.lastname: Osako
authors.forename: Tamizo
authors.initials: T
authors.lastname: Kimura
authors.forename: Nozomu
authors.initials: N
authors.lastname: Yamanaka
authors.forename: Shingo
authors.initials: S
authors.lastname: Nakamura
authors.forename: Tadaaki
authors.initials: T
authors.lastname: Maehara
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery*; D012189:Retrospective Studies