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.
LevineR.A., SchwammenthalE.Ischemic mitral regurgitation on the threshold of a solution: from paradoxes to unifying concepts. Circulation.2005; 112: 745–758.
2.
WuA.H., AaronsonK.D., BollingS.F., PaganiF.D., WelchK., KoellingT.M.Impact of mitral valve annuloplasty on mortality risk in patients with mitral regurgitation and left ventricular systolic dysfunction. J Am Coll Cardiol.2005; 45: 381–387.
3.
BishayE.S., McCarthyP.M., CosgroveD.M.Mitral valve surgery in patients with severe left ventricular dysfunction. Eur J Cardiothorac Surg.2000; 17: 213–221.
4.
GummertJ.F., RahmelA., BuceriusJ.Mitral valve repair in patients with end stage cardiomyopathy: who benefits?Eur J Cardiothorac Surg.2003; 23: 1017–1022.
5.
BollingS.F., PaganiF.D., DeebG.M., BachD.S.Intermediate-term outcome of mitral reconstruction in cardiomyopathy. J Thorac Cardiovasc Surg.1998; 115: 381–386.
6.
McGeeE.C., GillinovA.M., BlackstoneE.H.Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation. J Thorac Cardiovasc Surg.2004; 128: 916–924.
7.
BoumaW., van der HorstI.C., Wijdh-den HamerI.J.Chronic ischaemic mitral regurgitation. Current treatment results and new mechanism-based surgical approaches. Eur J Cardiothorac Surg.2010; 37: 170–185.
8.
McClureR.S., CohnL.H., WiegerinckE.Early and late outcomes in minimally invasive mitral valve repair: an eleven-year experience in 707 patients. J Thorac Cardiovasc Surg.2009; 137: 70–75.
9.
AckerM.A., BollingS., SheminR., for the Acorn Trial Principal Investigators and Study Coordinators. Mitral valve surgery in heart failure: insights from the Acorn Clinical Trial. J Thorac Cardiovasc Surg.2006; 132: 568–577.
10.
HvassU., TapiaM., BaronF., PouzetB., ShafyA.Papillary muscle sling: a new functional approach to mitral repair in patients with ischemic left ventricular dysfunction and functional mitral regurgitation. Ann Thorac Surg.2003; 75: 809–811.
PinedaA.M., SantanaO., ZamoraC., BenjoA.M., LamasG.A., LamelasJ.Outcomes of a minimally invasive approach compared with median sternotomy for the excision of benign cardiac masses. Ann Thorac Surg.2011; 91: 1440–1444.
13.
LamelasJ., SarriaA., SantanaO., PinedaA.M., LamasG.A.Outcomes of minimally invasive valve surgery versus median sternotomy in patients age 75 years or greater. Ann Thorac Surg.2011; 91: 79–84.
14.
SantanaO., ReynaJ., GranaR., BuendiaM., LamasG.A., LamelasJ.Outcomes of minimally invasive valve surgery versus standard sternotomy in obese patients undergoing isolated valve surgery. Ann Thorac Surg.2011; 91: 406–410.
15.
CohnL.H., AdamsD.H., CouperG.S.Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg.1997; 226: 421–426.
16.
GammieJ.S., ZhaoY., PetersonE.D., O'BrienS.M., RankinJ.S., GriffithB.P.J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg.2010; 90: 1401–1408, 1410.
17.
GammieJ.S., BartlettS.T., GriffithB.P.Small-incision mitral valve repair: safe, durable, and approaching perfection. Ann Surg.2009; 250: 409–415.
