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Title of Journal: Gen Thorac Cardiovasc Surg

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Abbravation: General Thoracic and Cardiovascular Surgery

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Springer-Verlag

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DOI

10.1016/j.apsusc.2016.12.078

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1863-6713

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Mitral valve repair with papillary muscle sling fo

Authors: Hisato Ito Kiyohito Yamamoto Takane Hiraiwa
Publish Date: 2007/07/13
Volume: 55, Issue: 7, Pages: 297-301
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Abstract

Functional mitral regurgitation FMR is a common complication in patients with ischemic heart disease or idiopathic dilated cardiomyopathy DCM We report successful application of a papillary muscle sling PMS to maintain the efficacy of undersized mitral annuloplasty MAP in two patients with FMR A 5mm expanded polytetrafluoroethylene tube was placed around the trabecular base of the papillary muscles and then tightened to make a sling that banded the two papillary muscles together In case 1 a 57yearold woman who had experienced anterolateral myocardial infarction underwent mitral valve reconstruction with undersized MAP and PMS in addititon to coronary revascularization for chronic ischemic mitral regurgitation In case 2 we applied the same mitral valve procedure in a 65yearold woman with idiopathic DCM Neither had mitral insufficiency at an intermediate followup

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