title: Successful Valve Prolapse Repair for Ischemic Mitral Regurgitation: Combined Papillary Muscle Approximation and Mitral Chordae System Replacement.
abstract: Mitral valve prolapse occurs in 33.6% of patients undergoing surgery for ischemic mitral regurgitation (IMR). In the context of IMR, reparative strategy cannot disregard the underlying mechanism of pathogenesis and the progressive geometric alteration affecting left ventricle and papillary muscles. We present a case of extended mitral prolapse of the posteromedial commissure and A3 concomitant to chordal injury after inferior myocardial infarction. We propose a combined sequential approach including papillary muscle approximation and a mitral chordae system replacement.
authors.affiliation: Cardiac Surgery Centre, Cardiologique du Nord de Saint-Denis, Paris, France / Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Nappi
authors.affiliation: Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Clydebank, Glasgow, United Kingdom / Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
authors.forename: Cristiano
authors.initials: C
authors.lastname: Spadaccio
authors.affiliation: Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Barbato
authors.affiliation: Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Lusini
authors.affiliation: Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Chello
mesh_terms: D002815:Chordae Tendineae / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery*