A 46-year-old man was
referred to our hospital due to severe ischemic mitral regurgitation with
severe bileaflet tethering and a dilated left ventricle. We performed left
ventricular reconstruction and mitral valve annuloplasty combined with
papillary muscle relocation. Although left ventricular continued remodeling
occurred during follow-up, left ventricular reconstruction and mitral valve annuloplasty
combined with papillary muscle relocation provided durable mitral repair, and
his functional status was good. Thus, this combined surgical treatment may
reduce mitral regurgitation recurrence after mitral valve annuloplasty.
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