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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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