2022 AMI Online Salon

Mitral Valve Repair

Project Details

  • Entrant Name:  Jiyu Kelly Lim
  • Client: Lydia Gregg
  • Copyright:  Jiyu Kelly Lim, 2021
  • Medium/software used: Adobe Photoshop / Illustrator
  • Final presentation format: Slide Presentation
  • Primary Audience: Cardiovascular Surgeons

Project Description

Surgical mitral valve repair is a gold standard treatment for severe degenerative mitral regurgitation, commonly caused by a dysfunctional posterior leaflet. Increasing evidence suggests a better surgical outcome is expected when the posterior leaflet is resuspended with artificial chordae tendinea, or neochordae, without any resection. Depicted is step 7 of a 9-step surgical illustration series for slide presentation. It shows cardiovascular surgeons how neochordae are placed within the papillary muscle and posterior valve during mitral valve repair. The neochordae are given didactic colors to orient the viewer through each inset. Inset A depicts the complicated suture arrangement, whilst Inset B shows how neochordae would appear from the surgeon’s point of view once placed. The coaptation zone is labelled in the center of the slide to highlight the importance of proper placement. The cross-sectional and surgeon’s views have been used to aid understanding of the complex cardiac anatomy.