{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T01:49:38Z","timestamp":1649209778285},"reference-count":4,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We performed \u201cPapillary muscle heads focalization\u201d for three patients with severe functional mitral regurgitation with severe leaflet tethering (coaptation distance \u22651\u2009cm and\/or posterior leaflet angle \u226545\u2009degrees). All separated papillary muscle heads were sutured together and both the anterolateral and posteromedial papillary muscles were reconstructed as single head papillary muscles. The stitches are positioned to adjust the levels of mitral leaflet tips, concerning the length of the marginal chordae connected to each head. A downsized annuloplasty is performed concomitantly. At discharge, no patient showed moderate\/severe mitral regurgitation. Their coaptation lengths were 7.1, 8.5, and 8.3\u2009mm.<\/jats:p>","DOI":"10.1055\/s-0040-1722730","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T23:00:35Z","timestamp":1617922835000},"page":"133-135","source":"Crossref","is-referenced-by-count":0,"title":["Papillary Muscle Heads Focalization for Functional Mitral Regurgitation with Severe Tethering"],"prefix":"10.1055","volume":"70","author":[{"given":"Masatoshi","family":"Hata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Bleiziffer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9","family":"Schramm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan F.","family":"Gummert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"I529","DOI":"10.1161\/CIRCULATIONAHA.105.000729","article-title":"Mechanism of recurrent\/persistent ischemic\/functional mitral regurgitation in the chronic phase after surgical annuloplasty: importance of augmented posterior leaflet tethering","volume":"114","author":"E Kuwahara","year":"2006","journal-title":"Circulation"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"e59","DOI":"10.1016\/j.athoracsur.2020.02.027","article-title":"Papillary muscle heads focalization for functional mitral valve regurgitation","volume":"110","author":"M Hata","year":"2020","journal-title":"Ann Thorac Surg"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1093\/ehjci\/jet105","article-title":"Recommendations for the echocardiographic assessment of native valvular regurgitation: an executive summary from the European Association of Cardiovascular Imaging","volume":"14","author":"P Lancellotti","year":"2013","journal-title":"Eur Heart J Cardiovasc Imaging"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1253\/circj.CJ-08-0585","article-title":"Original papillary muscle sandwich plasty for ischemic mitral regurgitation","volume":"73","author":"S Ishikawa","year":"2009","journal-title":"Circ J"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1722730.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:32:45Z","timestamp":1646958765000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1722730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,8]]},"references-count":4,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,3,10]]},"published-print":{"date-parts":[[2022,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1722730","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,8]]}}}