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Ann Thorac Surg 2008;85:1820-1822. doi:10.1016/j.athoracsur.2007.11.073
© 2008 The Society of Thoracic Surgeons
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Hirokuni Arai
Takeshi Someya
Hiroyuki Tanaka
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New Surgical Procedure for Ischemic/Functional Mitral Regurgitation: Mitral Complex Remodeling

Hirokuni Arai, MD, PhD*, Fusahiko Itoh, MD, Takeshi Someya, MD, Keiji Oi, MD, PhD, Kiyoshi Tamura, MD, PhD, Hiroyuki Tanaka, MD, PhD

Department of Cardiothoracic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan

Accepted for publication November 27, 2005.

* Address correspondence to Dr Arai, Department of Cardiothoracic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan (Email: hiro.tsrg{at}tmd.ac.jp).

Although numerous surgical techniques have been developed for ischemic/functional mitral regurgitation, none has clearly improved patient outcome. We report the clinical application of a new mitral complex remodeling procedure for ischemic/functional mitral regurgitation that allows comprehensive remodeling of the entire mitral complex. The mitral complex remodeling procedure consists of three major concepts: division and reconstruction of secondary chords, undersized annuloplasty, and bilateral papillary muscle relocation.






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