Letter by Messas et al Regarding Article, “Initial Results of Posterior Leaflet Extension for Severe Type IIIb Ischemic Mitral Regurgitation”

Abstract

To the Editor: In their recent article in Circulation , De Varennes et al1 proposed to test the efficacy of posterior leaflet extension with remodeling annuloplasty on 44 patients with type IIIb ischemic mitral regurgitation (MR). In their introduction, the authors explain that most often ischemic MR mechanism is complex, “and the resulting MR jet is composed of a central and posteriorly directed jet of regurgitation (Carpentier type I and III).” In the discussion, the authors further explain …