Furukawa, KojiYano, MitsuhiroNakamura, EisakuMatsuyama, MasakazuNishimura, MasanoriKawagoe, KatsuyaNakamura, Kunihide2018-06-252018-06-252017-12World Journal of Cardiovascular Surgery, 2017, 7, 150-1552164-3202https://doi.org/10.4236/wjcs.2017.712017http://hdl.handle.net/123456789/1564A 46-year-old man was referred to our hospital due to severe ischemic mitral regurgitation with severe bileaflet tethering and a dilated left ventricle. We performed left ventricular reconstruction and mitral valve annuloplasty combined with papillary muscle relocation. Although left ventricular continued remodeling occurred during follow-up, left ventricular reconstruction and mitral valve annuloplasty combined with papillary muscle relocation provided durable mitral repair, and his functional status was good. Thus, this combined surgical treatment may reduce mitral regurgitation recurrence after mitral valve annuloplasty.enIschemic Mitral RegurgitationLeft Ventricular ReconstructionMitral Valve AnnuloplastyPapillary Muscle RelocationArticle