Left Ventricular Reconstruction and Mitral Valve Annuloplasty Combined with Papillary Muscle Relocation for Severe Ischemic Mitral Regurgitation

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DOI: 10.4236/wjcs.2017.712017    1,241 Downloads   2,662 Views  

ABSTRACT

A 46-year-old man was referred to our hospital due to severe ischemic mitral regurgitation with severe bileaflet tethering and a dilated left ventricle. We performed left ventricular reconstruction and mitral valve annuloplasty combined with papillary muscle relocation. Although left ventricular continued remodeling occurred during follow-up, left ventricular reconstruction and mitral valve annuloplasty combined with papillary muscle relocation provided durable mitral repair, and his functional status was good. Thus, this combined surgical treatment may reduce mitral regurgitation recurrence after mitral valve annuloplasty.

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Furukawa, K. , Yano, M. , Nakamura, E. , Matsuyama, M. , Nishimura, M. , Kawagoe, K. and Nakamura, K. (2017) Left Ventricular Reconstruction and Mitral Valve Annuloplasty Combined with Papillary Muscle Relocation for Severe Ischemic Mitral Regurgitation. World Journal of Cardiovascular Surgery, 7, 150-155. doi: 10.4236/wjcs.2017.712017.

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