LAUSR

The outcome of mitral valve (MV) repair for chronic ischemic mitral regurgitation (IMR) is suboptimal, due to the high recurrence rate of moderate or severe mitral regurgitation (MR) during follow‐up. The MV adapts to new MR increasing its area to cover the enlarged annular area (mitral plasticity). As this process is often incomplete, we aimed to evaluate if augmenting the anterior leaflet (AL) and cutting the second‐order chords (CC) together with restrictive mitral annuloplasty, a strategy we call “surgical mitral plasticity,” could improve the midterm results of MV repair for IMR.