Chordal cutting technique through aortotomy: A new approach to treat chronic ischemic mitral regurgitation Georges Fayad, MD, Thomas Modine, MD, Thierry.

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Presentation transcript:

Chordal cutting technique through aortotomy: A new approach to treat chronic ischemic mitral regurgitation Georges Fayad, MD, Thomas Modine, MD, Thierry Le Tourneau, MD, PhD, Sharif Al-Ruzzeh, PhD, Pierre-Vladimir Ennezat, MD, Christophe Decoene, MD, Henri Warembourg, MD The Journal of Thoracic and Cardiovascular Surgery Volume 129, Issue 5, Pages 1173-1174 (May 2005) DOI: 10.1016/j.jtcvs.2004.09.010 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative 2-dimensional echocardiographic analysis. Anterior leaflet angulation at the basal chord insertion, mild bulging of the ischemic inferior wall (arrow) with apical tenting relative to the annulus (dashes), and bent anterior leaflet base. B, Perioperative 2-dimensional echocardiographic analysis. Basal chordal cutting (arrow) and improved coaptation (dashes). C, Follow-up 2-dimensional echocardiographic analysis. Normal mitral coaptation at baseline without anterior leaflet bend despite important left ventricular dilatation (arrow). LV, Left ventricle. LA, left atrium. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 1173-1174DOI: (10.1016/j.jtcvs.2004.09.010) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions