title: Transventricular mitral valve operations.
abstract: We report transventricular mitral valve operations in 2 patients with severe mitral regurgitation and postinfarction left ventricular rupture and pseudoaneurysm. The first patient had direct papillary muscle involvement necessitating replacement of the mitral valve. The second patient had indirect mitral involvement allowing for placement of an atrial mitral annuloplasty ring via the left ventricle. Both patients showed no mitral valve regurgitation after replacement or repair and had uneventful postoperative recoveries. These cases demonstrate a feasible, alternative, transventricular approach to mitral valve replacement and repair.
authors.affiliation: Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA. wooy@uphs.upenn.edu
authors.forename: Y
authors.initials: Y
authors.lastname: Joseph Woo
authors.forename: Ryan C
authors.initials: RC
authors.lastname: McCormick
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D012720:Severity of Illness Index