Application of Papillary Muscle Sling Concept in an Infant as a Biological Bridge to Transplantation Nai-Hsin Chi, MD, Shu-Chien Huang, MD, His-Yu Yu,

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Application of Papillary Muscle Sling Concept in an Infant as a Biological Bridge to Transplantation Nai-Hsin Chi, MD, Shu-Chien Huang, MD, His-Yu Yu, MD, Yih-Sharng Chen, MD, Shoei-Shan Wang, MD The Annals of Thoracic Surgery Volume 79, Issue 1, Pages 337-339 (January 2005) DOI: 10.1016/j.athoracsur.2003.08.067

Fig 1 (a) Preoperative chest roentgenogram with cardiothoracic ratio of 0.73. (b) Postoperative chest roentgenogram with cardiothoracic ratio of 0.55. The Annals of Thoracic Surgery 2005 79, 337-339DOI: (10.1016/j.athoracsur.2003.08.067)

Fig 2 (a) Preoperative echocardiogram: apical four-chamber view showed severe mitral regurgitation. (b) Postoperative echocardiogram, parasternal long axis view. (Arrow indicates the sling.) (c) Postoperative echocardiogram showed trivial mitral regurgitation and good coaptation of mitral valve. (Arrow indicates the loop of tube around the papillary muscle.) (d) The gross finding of the excised heart. (Arrow indicates the loop.) (LA = left atrium; LV = left ventricle.) The Annals of Thoracic Surgery 2005 79, 337-339DOI: (10.1016/j.athoracsur.2003.08.067)

Fig 3 Concept of papillary muscle sling in different groups of patients. (a) Dilated left ventricle with poor coaptation resulting in mitral regurgitation. (b) Concept of adult patients group. The papillary muscle sling is over the base of the papillary muscles. (c) Concept of infant group. The papillary muscle sling encircles the papillary muscle. The Annals of Thoracic Surgery 2005 79, 337-339DOI: (10.1016/j.athoracsur.2003.08.067)