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.