D. Craig Miller, M.D.
Publication Details
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Effects of mitral valve replacement on regional left ventricular systolic strain.
Ann Thorac Surg. 1999; (3): 894-902
Mitral valve replacement (MVR) with chordal excision impairs left ventricular (LV) systolic function, but the responsible mechanisms remain incompletely characterized. Loss of normal annular-papillary continuity also adversely affects LV torsional deformation, possibly due to changes in myocardial fiber contraction pattern.
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