Author/Authors :
Büyükbayrak, Fuat Kartal Koşuyolu Yüksek İhtisas Education and Research Hospital - Clinic of Cardiovascular Surgery, Turkey , Adademir, Taylan Kartal Koşuyolu Yüksek İhtisas Education and Research Hospital - Clinic of Cardiovascular Surgery, Turkey , Kaymaz, Cihangir Kartal Koşuyolu Yüksek İhtisas Education and Research Hospital - Clinic of Cardiology, Turkey , Alp, Mete Kartal Koşuyolu Yüksek İhtisas Education and Research Hospital - Clinic of Cardiovascular Surgery, Turkey
Abstract :
Mitral valve repair is the preferred treatment for patients with mitral valve regurgitation (MR); however almost one third of all diseased mitral valves cannot be repaired (1). This ratio is even worse in patients with ischemic MR (2). Ischemia and resultant segmental or global left ventricle dilatation results in restriction of posterior leaflet motion. Tethering of the posterior leaflet (Type IIIb MR) makes it unavailable for cooptation with the anterior leaflet in the absence of structural damage to the valve (3).