title: Nine years' experience with the chordal cutting technique in ischemic mitral regurgitation.
abstract: OBJECTIVE
  The optimal surgical management of chronic ischemic mitral regurgitation has not yet been clearly defined. Among the various approaches proposed, the excision of strut (or main) chordae, along with complete annuloplasty to relieve tethering, has been the one preferred by our institution to treat this particular subset of mitral disease.
  
  
  METHODS
  Between October 2004 and May 2013, 11 patients underwent surgery for chronic ischemic mitral regurgitation.
  
  
  RESULTS
  There was no perioperative death. No patient was lost to follow-up. There was one late death due to respiratory failure three years after the operation, and one patient received a ventricular assist device ten months after surgery. The remaining patients are all alive with residual trivial-to-mild regurgitation.
  
  
  CONCLUSIONS
  Chordal cutting associated with complete annuloplasty may be a good surgical option in chronic ischemic mitral regurgitation.
authors.affiliation: S.C. Cardiochirurgia, Ospedale S. Maria della Misericordia, Azienda Ospedaliera di Perugia, Perugia, Italy.
authors.forename: Uberto
authors.initials: U
authors.lastname: Da Col
authors.forename: Davide
authors.initials: D
authors.lastname: Di Lazzaro
authors.forename: Alessandro
authors.initials: A
authors.lastname: Affronti
authors.forename: Simone
authors.initials: S
authors.lastname: Perticoni
authors.forename: Temistocle
authors.initials: T
authors.lastname: Ragni
mesh_terms: D000328:Adult; D000368:Aged; D002815:Chordae Tendineae / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D017202:Myocardial Ischemia / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome