Chordal cutting technique through aortotomy to treat chronic ischemic mitral regurgitation: surgical technique.

Objective: To describe original surgical treatment in patients with ischemic mitral valve regurgitation due to tenting phenomenon.

Background: The optimal surgical treatment of ischemic mitral regurgitation (MR) in patients with coronary artery disease is controversial. The standard treatment is revascularization and reduction annuloplasty.