Anatomy eats strategy for breakfast

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Presentation transcript:

Anatomy eats strategy for breakfast Joanna Chikwe, MD The Journal of Thoracic and Cardiovascular Surgery Volume 156, Issue 1, Pages 247-248 (July 2018) DOI: 10.1016/j.jtcvs.2018.01.061 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Repair of ischemic papillary muscle rupture. A, Ruptured body of the papillary muscles in forceps (arrow) with intact chordae attached to P1. B, Pledgeted 4/0 GORE-TEX (W.L. Gore and Associates, Flagstaff, Ariz) passed through the fibrous head of the intact anterolateral papillary muscle, adjacent to the ischemic stump of the ruptured papillary muscle (arrow). C, Fibrous head (arrow) of the ruptured papillary muscle with chordae to P1 preserved, reimplanted onto the fibrous head of the anterolateral papillary muscle. D, Competent saline solution test. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 247-248DOI: (10.1016/j.jtcvs.2018.01.061) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Access to the subvalvular apparatus allows effective repair of papillary muscle pathology. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 247-248DOI: (10.1016/j.jtcvs.2018.01.061) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions