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Papillary Muscle Sling Placement for Functional Mitral Regurgitation During Minimally Invasive Valve Surgery

Benjo, Alexandre M. MD*; Macedo, Franscisco Y.B. MD; Santana, Orlando MD*; Lamelas, Joseph MD

Innovations:Technology and Techniques in Cardiothoracic and Vascular Surgery: November/December 2012 - Volume 7 - Issue 6 - p 448–451
doi: 10.1097/IMI.0b013e3182852e7b
Case Reports

Herein, we report a case of a 39-year-old woman with an 18-month history of peripartum cardiomyopathy. Transthoracic echocardiography revealed severe functional mitral regurgitation and a left ventricular ejection fraction of 20%. Despite optimal medical therapy, she was in New York Heart Association heart failure class IV, with dyspnea on minimal exertion. The patient underwent minimally invasive mitral valve repair with placement of a papillary muscle sling, which improved her symptoms.

From the *Columbia University Division of Cardiology, the †Department of Internal Medicine at the University of Miami/Hospitalist Division Jackson Memorial Hospital, and the ‡Division of Cardiac Surgery, Mount Sinai Heart Institute, Miami Beach, FL USA.

Accepted for publication September 30, 2012.

Disclosure: The authors declare no conflict of interest.

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Address correspondence and reprint requests to Orlando Santana, MD, Echocardiography Laboratory, Columbia University Division of Cardiology, Mount Sinai Heart Institute, 4300 Alton Rd, Miami Beach, FL 33140 USA. E-mail:

Copyright © 2012 by the International Society for Minimally Invasive Cardiothoracic Surgery. Unauthorized reproduction of this article is prohibited.