Mitral regurgitation in dilated cardiomyopathy is usually considered “functional,” and many such patients are treated medically. Surgery is often offered as a last resort in select patients who have failed medical therapy. We report a patient with dilated cardiomyopathy with ventricular tachycardia and ventricular dyssynchrony and “structural mitral regurgitation” due to chordal tethering, which was managed surgically using a minimally invasive approach.
FayadG., ModineT., Le TourneauT.Chordal cutting technique through aortotomy: A new approach to treat chronic ischemic mitral regurgitation. J Thorac Cardiovasc Surg.2005; 129: 1173–1174.
2.
YamamatoH., IguroY., SakataR.Effectively treating ischemic mitral regurgitation with chordal cutting in combination with ring annuloplasty and left ventricular reshaping approach. J Thorac Cardiovasc Surg.2005; 130: 589–590.
3.
MessasE., PouzetB., TouchotB.Efficacy of chordal cutting to relieve chronic persistent ischemic mitral regurgitation. Circulation2003; 108[Suppl II]: II-111–II-115.
