Mitral valve annuloplasty and anterior leaflet augmentation for functional ischemic mitral regurgitation: Quantitative comparison of coaptation and subvalvular tethering

A large ALA procedure created the greatest coaptation and reduced chordal tethering. Although all repairs abolished MR acutely, the repairs that create the greatest coaptation might conceivably produce a more robust and lasting repair in the chronic stage. A clinical need still exists to best identify which patients with altered mitral valve geometries would most benefit from an adjunct procedure or RMA alone.