Key result
PML augmentation with autologous pericardium eliminates atrial functional MR in a nonelderly patient.
Case Report (n=1)
Posterior mitral leaflet augmentation with an autologous pericardial patch may be a useful surgical technique for treating severe atrial functional mitral regurgitation.
Answers are grounded in this paper and cite their sources.
May offer a repair option for atrial functional MR with tethered PML; hypothesis-generating and requires prospective validation before wider use.
Atrial functional mitral regurgitation (MR) in patients with chronic atrial fibrillation has not been thoroughly discussed. Although there is insufficient evidence to surgically treat atrial functional MR, it is considered to be reasonable for those patients with severe atrial functional MR who have symptoms of heart failure despite adequate medical therapy. Herein, we report a useful technique for mitral valve repair using posterior mitral leaflet (PML) augmentation with autologous pericardium to obtain good mitral valve coaptation and eliminate atrial functional MR, including tethered PML, in a nonelderly patient.
No takes yet. Share an insight, caveat, or question.
Furuya et al. (2022) conducted a case report in Severe atrial functional mitral regurgitation (n=1). Mitral valve repair using posterior mitral leaflet augmentation with autologous pericardium was evaluated on Mitral valve coaptation and elimination of atrial functional MR. Posterior mitral leaflet augmentation with autologous pericardium successfully achieved good mitral valve coaptation and eliminated atrial functional mitral regurgitation in a nonelderly patient.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: