Papillary heads “optimization” in repairing functional mitral regurgitation  Masashi Komeda, MD, PhD, Yutaka Koyama, Shunsuke Fukaya, Hideki Kitamura 

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Papillary heads “optimization” in repairing functional mitral regurgitation  Masashi Komeda, MD, PhD, Yutaka Koyama, Shunsuke Fukaya, Hideki Kitamura  The Journal of Thoracic and Cardiovascular Surgery  Volume 144, Issue 5, Pages 1262-1264 (November 2012) DOI: 10.1016/j.jtcvs.2012.06.038 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Surgical techniques for papillary head optimization. A, In each papillary muscle, the posterior head was approximated to the anterior head using polytetrafluoroethylene suture. AA, Anterior head of anterolateral papillary muscles; AP, posterior head of anterolateral papillary muscle; PA, anterior head of posterior papillary muscle; PP, posterior head of posterior papillary muscle. B, The suture is passed through the midanterior mitral annulus and the annuloplasty ring. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1262-1264DOI: (10.1016/j.jtcvs.2012.06.038) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions