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Papillary muscle sandwich plasty for ischemic mitral regurgitation: A new simple technique  Susumu Ishikawa, MD, Keisuke Ueda, MD, Akio Kawasaki, MD,

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Presentation on theme: "Papillary muscle sandwich plasty for ischemic mitral regurgitation: A new simple technique  Susumu Ishikawa, MD, Keisuke Ueda, MD, Akio Kawasaki, MD,"— Presentation transcript:

1 Papillary muscle sandwich plasty for ischemic mitral regurgitation: A new simple technique 
Susumu Ishikawa, MD, Keisuke Ueda, MD, Akio Kawasaki, MD, Kazuo Neya, MD, Haruo Suzuki, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 135, Issue 6, Pages (June 2008) DOI: /j.jtcvs Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Schema of papillary muscle plication. A Teflon-pledgeted 3-0 Ticron suture is passed through the heads of the papillary muscles of the anterior leaflet and posterior leaflet at the posteromedian commissural portion, and bases of the chordae of the anterior and posterior leaflets are fixed. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Schematic representation of sandwich plasty. Direction of chordae is corrected by papillary muscle placation, and ring annuloplasty keeps the sufficient coaptation zone. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Transesophageal echocardiograms before (top) and after (bottom) sandwich plasty. Severe mitral regurgitation disappeared after sandwich plasty because of better coaptation of the 2 leaflets. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

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