Introduction
Ischemic mitral regurgitation (IMR), a well-known complication of myocardial infarction (MI), is subcategorized as a secondary mitral regurgitation (MR) and is a well-known cause of heart failure, leading to a poor prognosis.1 Surgical techniques like undersized annuloplasty, papillary muscle relocation or approximation, and chordal cutting have been reported previously, but certain surgical methods have not been established for treating IMR. We report a successful case of left ventricular posterior wall plication (LVPWP) for a patient in cardiac shock with severe IMR shock that could not be weaned from mechanical support.