Valtech

Abstract:

Mitral valve prolapse occurs in 33.6% of patients undergoing surgery for ischemic mitral regurgitation (IMR). In the context of IMR, reparative strategy cannot disregard the underlying mechanism of pathogenesis and the progressive geometric alteration affecting left ventricle and papillary muscles. We present a case of extended mitral prolapse of the posteromedial commissure and A3 concomitant to chordal injury after inferior myocardial infarction. We propose a combined sequential approach including papillary muscle approximation and a mitral chordae system replacement.

Authors:

Francesco Nappi, MD, Cardiac Surgery Consultant, Cardiac Surgery Centre, Cardiologique du Nord de Saint-Denis, Paris, France, Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy, Cristiano Spadaccio MD, PhD, Cardiac Surgery Consultant, Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Clydebank, Glasgow, United Kingdom, Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy, Raffaele Barbato MD, Cardiac Surgery Consultant, Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy, Mario Lusini MD, PhD, Cardiac Surgery Consultant/Associate Professor, Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy, Massimo Chello, MD, Professor, Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy

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