Quick but effective surgery for functional mitral regurgitation secondary to aortic valve disease Masashi Komeda, MD, PhD The Journal of Thoracic and.

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Presentation transcript:

Quick but effective surgery for functional mitral regurgitation secondary to aortic valve disease Masashi Komeda, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 2, Pages 275-277 (February 2017) DOI: 10.1016/j.jtcvs.2016.08.015 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Modified relocation of PMs. Two papillary heads were connected by the PTFE suture in each PM, and the suture was externalized via subaortic curtain. The illustration of the posterior PM heads shows how to place a stitch to the 2 heads to connect them. PM, Papillary muscle; AH, anterior head; PH, posterior head; PTFE, polytetrafluoroethylene. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 275-277DOI: (10.1016/j.jtcvs.2016.08.015) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Echocardiography of a representative patient. A 64-year-old woman underwent the Bentall procedures and PHO relocation of the PMs via an aortic orifice. One year after the surgery, leaflets tethering, functional MR, and LV dilatation/sphericalization disappeared. Note that the patient did not receive mitral annuloplasty or left atriotomy. White triangular markers show artificial chordae for relocation. LV, Left ventricle; AL, anterior leaflet; PL, posterior leaflet; MA, mitral annulus; LA, left atrium; AC, artificial chordae. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 275-277DOI: (10.1016/j.jtcvs.2016.08.015) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

A novel surgery for secondary functional MR. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 275-277DOI: (10.1016/j.jtcvs.2016.08.015) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 AR, Aortic regurgitation; Dd, diastolic diameter; DOE, dyspnea on effort; EF, ejection fraction; FMR, functional mitral regurgitation; LVA, left ventricular aneurysm; MAP, mitral annuloplasty; MR, mitral regurgitation; NCC, noncoronary cusp; NYHA, New York Heart Association; PHO, papillary heads optimization; PM, papillary muscle; PTFE, polytetrafluoroethylene; RCC, right coronary cusp; SVR, surgical ventricular restoration; TR, tricuspid regurgitation. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)31034-0/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 275-277DOI: (10.1016/j.jtcvs.2016.08.015) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions