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J Thorac Cardiovasc Surg 2006;131:1420
© 2006 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor

Hiroyuki Yamamoto, MD, Ryuzo Sakata, MD

Department of Thoracic and Cardiovascular Surgery, Kagoshima University, 8-35-1 Sakuragaoka Kagoshima, 890-8520 Japan

The first 20% of the full text of this article appears below.

We thank Dr Basaran for raising important questions concerning our report of chordal cutting in combination with ring annuloplasty and overlapping cardiac volume reduction (OLCVR) operation, which is a new clinical therapeutic approach for the treatment of ischemic mitral regurgitation (IMR).

We think that IMR associated with myocardial infarction and ischemic cardiomyopathy is a progressive disease. There is a possibility of recurrence of IMR after the operation because of the persistent left ventricular (LV) remodeling. Therefore we paid attention to not only a disappearance of mitral regurgitation immediately after the operation but also to the long-term prevention of IMR recurrence after surgical intervention.

We also think that LV plasty should be able . . . [Full Text of this Article]






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