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- Francesco Nappi, Cristiano Spadaccio, Raffaele Barbato, Mario Lusini, and Massimo Chello.
- Cardiac Surgery Centre, Cardiologique du Nord de Saint-Denis, Paris, France / Department of Cardiovascular Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
- Surg Technol Int. 2015 May 1; 26: 192-6.
AbstractMitral valve prolapse occurs in 33.6% of patients undergoing surgery for ischemic mitral regurgitation (IMR). In the context of IMR, reparative strategy cannot disregard the underlying mechanism of pathogenesis and the progressive geometric alteration affecting left ventricle and papillary muscles. We present a case of extended mitral prolapse of the posteromedial commissure and A3 concomitant to chordal injury after inferior myocardial infarction. We propose a combined sequential approach including papillary muscle approximation and a mitral chordae system replacement.
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