Geometric distortion of the mitral valve apparatus in ischemic mitral regurgitation: Should we really forfeit the opportunity for a complete repair?

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Presentation transcript:

Geometric distortion of the mitral valve apparatus in ischemic mitral regurgitation: Should we really forfeit the opportunity for a complete repair? Francesco Nappi, MD, Orlando Santana, MD, Christos G. Mihos, DO The Journal of Thoracic and Cardiovascular Surgery Volume 158, Issue 3, Pages e91-e92 (September 2019) DOI: 10.1016/j.jtcvs.2019.03.075 Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The zone of ischemic mitral valve subject to traction of chordae tendineae. Necrosis of the myocardium adjacent to the posteromedial papillary muscle can exert traction, causing elongation and rupture of the chordae attached to the posteromedial commissure or to an adjacent P3 or A3 scallop with ischemic mitral valve prolapse (black highlighting). AC, Anterior commissure; PC, posterior commissure. The Journal of Thoracic and Cardiovascular Surgery 2019 158, e91-e92DOI: (10.1016/j.jtcvs.2019.03.075) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2019 158, e91-e92DOI: (10.1016/j.jtcvs.2019.03.075) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions