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Ann Thorac Surg 2007;84:2130-2131. doi:10.1016/j.athoracsur.2007.04.056
© 2007 The Society of Thoracic Surgeons
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How To Do It

Papillary Muscle Approximation for Functional Ischemic Mitral Regurgitation

Akhtar Rama, MD, Levy Praschker, MD*, Eleodoro Barreda, MD, Iradj Gandjbakhch, MD

Department of Thoracic and Cardiovascular Surgery, University of Paris VI Pierre et Marie, Groupe Hospitalier Pitie-Salpêtrière, Assistance Publique—Hôpitaux de Paris, Paris, France

Accepted for publication April 16, 2007.

* Address correspondence to Dr Praschker, Department of Thoracic and Cardiovascular Surgery, Groupe Hospitalier Pitie-Salpêtrière, 47-83, Boulevard de l’Hôpital, Cedex 13, Paris, 75651, France (Email: beltranlevy{at}hotmail.com).

In patients with ischemic left ventricular dysfunction and functional mitral regurgitation, surgical treatment of mitral insufficiency remains a challenging issue. Several procedures have been described to restore a near to natural alignment between the mitral annulus and the laterally displaced papillary muscles. We report a new approach to relocate the displaced papillary muscles toward the mitral annulus and to reduce tethering in 8 patients, providing satisfactory initial results. Echocardiography showed mild or no mitral regurgitation at the follow-up (mean, 11.4 ± 3.6 months; range = 7 to 14 months). This procedure is believed to be technically easy and beneficial in terms of mitral repair.




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 Ann. Thorac. Surg.Home page
C. A. Milano, M. A. Daneshmand, J. S. Rankin, E. Honeycutt, M. L. Williams, M. Swaminathan, L. Linblad, L. K. Shaw, D. D. Glower, and P. K. Smith
Survival Prognosis and Surgical Management of Ischemic Mitral Regurgitation
Ann. Thorac. Surg., September 1, 2008; 86(3): 735 - 744.
[Abstract] [Full Text] [PDF]


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