| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2003;75:809-811
© 2003 The Society of Thoracic Surgeons
a Cardiovascular Surgery, Bichat Hospital, Paris, France
Accepted for publication October 8, 2002.
* Address reprint requests to Dr Hvass, Cardiovascular Surgery, Bichat Hospital, 46 rue Henri Huchard, Paris 75018, France
e-mail: ulrik.hvass{at}bch.ap-hop-paris.fr
BACKGROUND: In patients with ischemic left ventricular dysfunction (LVD) and functional mitral regurgitation (FMR), restoring a more normal alignment between mitral annulus and laterally displaced papillary muscles (PM) may be beneficial in terms of mitral repair and regional dynamics.
METHODS: Ten patients, 29 to 78 years old, with an ejection fraction of 25% to 45%, pulmonary hypertension greater than 60, and New York Heart Association Class III–IV, had their PMs drawn together by a tightly encircling loop using a 4-mm Gore-Tex tube. Associated mitral annuloplasty rings were only moderately undersized. Efficiency was essentially evaluated on reversal of mitral tenting and control of FMR.
RESULTS: Postoperative echocardioraphy revealed changes in "tenting effect" from 14 ± 2.8 mm to 4 ± 1.41 mm. Regurgitation is none to trivial in 9 patients, and mild in 1 patient. The posterior left ventricular wall between the PMs is shortened as a result of the surgical remodeling and may be beneficial on local dynamics.
CONCLUSIONS: Joining the PM side-by-side has an obvious immediate effect on mitral leaflet mobility by suppressing the tethering due to displacement of the PM. An eventual result on local ventricular dynamics needs confirmation.
This article has been cited by other articles:
|
|
 |
|
  B. de Varennes, R. Chaturvedi, S. Sidhu, A. V. Cote, W. L. P. Shan, C. Goyer, R. Hatzakorzian, J. Buithieu, and A. Sniderman Initial Results of Posterior Leaflet Extension for Severe Type IIIb Ischemic Mitral Regurgitation Circulation, June 2, 2009; 119(21): 2837 - 2843. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Lancellotti, T. Marwick, and L. A Pierard How to manage ischaemic mitral regurgitation Heart, November 1, 2008; 94(11): 1497 - 1502. [Full Text] [PDF]
|
|
|
|
 |
|
 S. Ishikawa, K. Ueda, A. Kawasaki, K. Neya, and H. Suzuki Papillary muscle sandwich plasty for ischemic mitral regurgitation: A new simple technique. J. Thorac. Cardiovasc. Surg., June 1, 2008; 135(6): 1384 - 1386. [Full Text] [PDF]
|
|
|
|
 |
|
 K.-u Fumimoto, T. Fukui, T. Shimokawa, and S. Takanashi Papillary muscle realignment and mitral annuloplasty in patients with severe ischemic mitral regurgitation and dilated heart Interactive CardioVascular and Thoracic Surgery, June 1, 2008; 7(3): 368 - 371. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Gelsomino, R. Lorusso, I. Capecchi, C. Rostagno, S. Romagnoli, G. Bille, G. De Cicco, C. Tetta, P. Stefano, and G. F. Gensini Left Ventricular Reverse Remodeling After Undersized Mitral Ring Annuloplasty in Patients With Ischemic Regurgitation Ann. Thorac. Surg., April 1, 2008; 85(4): 1319 - 1330. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yamamoto, H. Ito, and T. Hiraiwa Papillary muscle sling and overlapping cardiac volume reduction with aortic valve replacement for valvular cardiomyopathy Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 325 - 327. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W.M. Fedak, P. M. McCarthy, and R. O. Bonow Evolving Concepts and Technologies in Mitral Valve Repair Circulation, February 19, 2008; 117(7): 963 - 974. [Full Text] [PDF]
|
|
|
|
|
|
E. Lansac, I. Di Centa, N. Al Attar, D. Messika-Zeitoun, R. Raffoul, A. Vahanian, and P. Nataf Percutaneous mitral annuloplasty through the coronary sinus: an anatomic point of view. J. Thorac. Cardiovasc. Surg., February 1, 2008; 135(2): 376 - 381. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. I. Fann, N. B. Ingels Jr., and D. C. Miller Pathophysiology of Mitral Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 973 - 1012. [Full Text]
|
|
|
|
|
|
A. Rama, L. Praschker, E. Barreda, and I. Gandjbakhch Papillary Muscle Approximation for Functional Ischemic Mitral Regurgitation Ann. Thorac. Surg., December 1, 2007; 84(6): 2130 - 2131. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Ito, K. Yamamoto, and T. Hiraiwa Dilated cardiomyopathy and functional mitral regurgitation complicated with traumatic ventricular septal defect. J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1583 - 1584. [Full Text] [PDF]
|
|
|
|
|
|
L. P. Ryan, B. M. Jackson, L. M. Parish, H. Sakamoto, T. J. Plappert, M. St. John-Sutton, J. H. Gorman III, and R. C. Gorman Mitral Valve Tenting Index for Assessment of Subvalvular Remodeling Ann. Thorac. Surg., October 1, 2007; 84(4): 1243 - 1249. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Roshanali, M. H. Mandegar, M. A. Yousefnia, H. Rayatzadeh, and F. Alaeddini A Prospective Study of Predicting Factors in Ischemic Mitral Regurgitation Recurrence After Ring Annuloplasty Ann. Thorac. Surg., September 1, 2007; 84(3): 745 - 749. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Ryan, B. Jackson, L. Parish, H. Sakamoto, T. Plappert, M. St. J. Sutton, J. Gorman III, and R. Gorman Quantification and localization of mitral valve tenting in ischemic mitral regurgitation using real-time three-dimensional echocardiography Eur. J. Cardiothorac. Surg., May 1, 2007; 31(5): 839 - 844. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Kuwahara, Y. Otsuji, Y. Iguro, T. Ueno, F. Zhu, N. Mizukami, K. Kubota, K. Nakashiki, T. Yuasa, B. Yu, et al. Mechanism of Recurrent/Persistent Ischemic/Functional Mitral Regurgitation in the Chronic Phase After Surgical Annuloplasty: Importance of Augmented Posterior Leaflet Tethering Circulation, July 4, 2006; 114(1_suppl): I-529 - I-534. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ueno, R. Sakata, Y. Iguro, T. Nagata, Y. Otsuji, and C. Tei New Surgical Approach to Reduce Tethering in Ischemic Mitral Regurgitation by Relocation of Separate Heads of the Posterior Papillary Muscle Ann. Thorac. Surg., June 1, 2006; 81(6): 2324 - 2325. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Langer, F. Rodriguez, A. Cheng, S. Ortiz, T. C. Nguyen, M. K. Zasio, D. Liang, G. T. Daughters, N. B. Ingels, and D. C. Miller Posterior mitral leaflet extension: An adjunctive repair option for ischemic mitral regurgitation? J. Thorac. Cardiovasc. Surg., April 1, 2006; 131(4): 868 - 877. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H. Mandegar, F. Roshanali, M. A. Yousefnia, and M. Marzban Papillary muscle approximation combined with ventriculoplasty in patients with ischemic cardiomyopathy and functional mitral regurgitation: effects on mitral valve and LV shape Interactive CardioVascular and Thoracic Surgery, April 1, 2006; 5(2): 81 - 84. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Borger, A. Alam, P. M. Murphy, T. Doenst, and T. E. David Chronic Ischemic Mitral Regurgitation: Repair, Replace or Rethink? Ann. Thorac. Surg., March 1, 2006; 81(3): 1153 - 1161. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. K. Mishra, S. Mittal, P. Jaguri, and N. Trehan Coapsys Mitral Annuloplasty for Chronic Functional Ischemic Mitral Regurgitation: 1-Year Results Ann. Thorac. Surg., January 1, 2006; 81(1): 42 - 46. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Buckberg, L. Menicanti, S. De Oliveira, T. Isomura, and and the RESTORE team Restoring papillary muscle dimensions during restoration in dilated hearts Interactive CardioVascular and Thoracic Surgery, October 1, 2005; 4(5): 475 - 477. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H.-Y. Yu, M.-Y. Su, Y.-S. Chen, F.-Y. Lin, and W.-Y. I. Tseng Mitral tetrahedron as a geometrical surrogate for chronic ischemic mitral regurgitation Am J Physiol Heart Circ Physiol, September 1, 2005; 289(3): H1218 - H1225. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Langer, F. Rodriguez, S. Ortiz, A. Cheng, T. C. Nguyen, M. K. Zasio, D. Liang, G. T. Daughters, N. B. Ingels, and D. C. Miller Subvalvular Repair: The Key to Repairing Ischemic Mitral Regurgitation? Circulation, August 30, 2005; 112(9_suppl): I-383 - I-389. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Zhu, Y. Otsuji, G. Yotsumoto, T. Yuasa, T. Ueno, B. Yu, C. Koriyama, S. Hamasaki, S. Biro, A. Kisanuki, et al. Mechanism of Persistent Ischemic Mitral Regurgitation After Annuloplasty: Importance of Augmented Posterior Mitral Leaflet Tethering Circulation, August 30, 2005; 112(9_suppl): I-396 - I-401. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Levine and E. Schwammenthal Ischemic Mitral Regurgitation on the Threshold of a Solution: From Paradoxes to Unifying Concepts Circulation, August 2, 2005; 112(5): 745 - 758. [Full Text] [PDF]
|
|
|
|
 |
|
 T. Uemura, Y. Otsuji, K. Nakashiki, S. Yoshifuku, Y. Maki, B. Yu, N. Mizukami, E. Kuwahara, S. Hamasaki, S. Biro, et al. Papillary Muscle Dysfunction Attenuates Ischemic Mitral Regurgitation in Patients With Localized Basal Inferior Left Ventricular Remodeling: Insights From Tissue Doppler Strain Imaging J. Am. Coll. Cardiol., July 5, 2005; 46(1): 113 - 119. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. B. Srichai, R. A. Grimm, A. E. Stillman, A. M. Gillinov, L. L. Rodriguez, M. L. Lieber, A. Lara, J. A. Weaver, P. M. McCarthy, and R. D. White Ischemic Mitral Regurgitation: Impact of the Left Ventricle and Mitral Valve in Patients with Left Ventricular Systolic Dysfunction Ann. Thorac. Surg., July 1, 2005; 80(1): 170 - 178. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. A. Tibayan, F. Rodriguez, F. Langer, M. K. Zasio, L. Bailey, D. Liang, G. T. Daughters, N. B. Ingels Jr, and D. C. Miller Annular or subvalvular approach to chronic ischemic mitral regurgitation? J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1266 - 1275. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. D. Glower, R. H. Tuttle, L. K. Shaw, R. E. Orozco, and J. S. Rankin Patient survival characteristics after routine mitral valve repair for ischemic mitral regurgitation J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 860 - 868. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N.-H. Chi, S.-C. Huang, H.-Y. Yu, Y.-S. Chen, and S.-S. Wang Application of Papillary Muscle Sling Concept in an Infant as a Biological Bridge to Transplantation Ann. Thorac. Surg., January 1, 2005; 79(1): 337 - 339. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-Y. Yu, M.-Y. Su, T.-Y. Liao, H.-H. Peng, F.-Y. Lin, and W.-Y. I. Tseng Functional mitral regurgitation in chronic ischemic coronary artery disease: Analysis of geometric alterations of mitral apparatus with magnetic resonance imaging J. Thorac. Cardiovasc. Surg., October 1, 2004; 128(4): 543 - 551. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. A. Levine, E. Messas, N. S. Nathan, and L. G. Rudski New understanding of ischemic mitral regurgitation: the marionette and its masters Eur J Echocardiogr, October 1, 2004; 5(5): 313 - 317. [Full Text] [PDF]
|
|
|
|
|
|
E. H. Kincaid, R. D. Riley, M. H. Hines, J. W. Hammon, and N. D. Kon Anterior leaflet augmentation for ischemic mitral regurgitation Ann. Thorac. Surg., August 1, 2004; 78(2): 564 - 568. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Fukamachi, Z. B. Popovic, M. Inoue, K. Doi, S. Schenk, Y. Ootaki, M. W. Kopcak Jr., and P. M. McCarthy Changes in mitral annular and left ventricular dimensions and left ventricular pressure-volume relations after off-pump treatment of mitral regurgitation with the Coapsys device Eur. J. Cardiothorac. Surg., March 1, 2004; 25(3): 352 - 357. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Levine and J. Hung Ischemic mitral regurgitation, the dynamic lesion: clues to the cure J. Am. Coll. Cardiol., December 3, 2003; 42(11): 1929 - 1932. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
